Category Archives: Emergency Medicine

STEWART’S ACID TRIP

Acid-base calculations. The ones that make my head hurt. Every time I read up on it, I seem to almost grasp it and get a deeper understanding – which slips away slightly after a week or two. And a few … Continue reading

Posted in Anesthesia, Emergency Medicine, Intensive Care | 2 Comments

BACK BOARDS AND SPINE IMMOBILISATION

Dr. Ryan Jacobsen, director of the Johnson County EMS in the States, explains why his EMS system isn’t transporting patients on the hard back boards for spine immobilisation. And he makes a great case of it, although they still – … Continue reading

Posted in Emergency Medicine, Prehospital Medicine | 1 Comment

NOT SO IMPRESSIVE CICV MANAGEMENT

The outcomes from a Canadian questionnaire study of anaesthetists preferences in difficult airway management is disappointing. When faced with establishing an airway in cannot-intubate-cannot-ventilate scenarios, the majority would go for  seldinger- or needle-techniques ie one of the ready-made kits.

Posted in Airway management, Anesthesia, Emergency Medicine | 2 Comments

PNEUMONIA AND ED ULTRASOUND

A study in AJEM sets out to compare diagnostic accuracy between chest x-rays and lung ultrasound for diagnosing pneumonia. Other recent ED studies have consistently shown how lung ultrasound outperforms chest x-rays when diagnosing pneumonia.

Posted in Emergency Medicine, Ultrasound, Uncategorized | 5 Comments

PRIAPISM AFTER SPINAL CORD INJURY

While the rest of the #FOAMed world went away to fight in the great Cricoid Pressure war, I discreetly retired to my library in order to study the male erection.

Posted in Emergency Medicine, Prehospital Medicine, Trauma, Uncategorized | 7 Comments

QUOTE OF THE MONTH

“Damage control resus can help avoid damage control surgery” – Karim Brohi, smaccGOLD.

Posted in Anesthesia, Emergency Medicine, Trauma | 1 Comment

TO HALVE OR NOT TO HALVE

An interesting study on outcomes for hemicraniectomies after extensive middle-cerebral-artery stroke. Hemicranectomies in cerebral oedema is not new, and has shown improved survival, but at the cost of severe disability. But what do the patients say?

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THE MOTTLING SCORE

Several methods have been developed for identifying and quantifying microcirculatory dysfunction in septic shock. We can measure buccal, sublingual and subcutaneous microcirculatory CO2-levels. Near infrared spectroscopy (NIRS) measures microcirculatory hemoglobin saturation. Sidestream dark field (SDF) imaging directly visualises the microcirculation. … Continue reading

Posted in Emergency Medicine, Infectious diseases, Intensive Care | Leave a comment

THAT’S HOW I (WAS) ROLL(ED)

We try to avoid putting personal stuff on this blog, but my personal observations from being a trauma patient fits too well with Thomas D’s righteous rant about logrolls a few days ago.¬†He wrote about how the logroll, as a … Continue reading

Posted in Emergency Medicine, Prehospital Medicine | 2 Comments

LOG ROLL AND A FINGER UP YOUR BUM – THEN YOU’RE DONE

ATLS mythbusting time – again. ATLS provides a great structure for talking and working trauma, but many of their procedures have been rethought the last couple of years as our understanding of trauma improves. Now it’s time for rethinking the … Continue reading

Posted in Emergency Medicine, Trauma | 9 Comments