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A blog on anaesthesia, intensive care and emergency medicine. In-hospital and outside. Mostly focusing on the critically ill patient. Written by two Scandinavian senior anaesthetic registrars.
This is our way of keeping log of articles and interesting things we come across in our work and on the internet. Should any of you out there stumble across this blog and find it useful then all the better.
Please leave comments or questions if you have any. The best way to keep learning is to keep the conversation going.
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Category Archives: Emergency Medicine
There´s a nice Best BET mini review in EMJ April 2016. The authors ask if it is safe and beneficial to control hypertension in the acute/hyperacute phase (~<6h from presentation) in patients with acute intracerebral haemorrhage.
There’s a new RCT out in NEJM on amiodarone and lidocaine in cardiac arrest. It’s an interesting study we wrote on, but needed a less categorical take. In the unselected study population, amiodarone and lidocaine did little for the patients. … Continue reading
The Norwegian Resuscitation Council has released revised guidelines for CPR, and presented them at the Scandinavian conference for emergency medicine, SAM 16. These recommendations might differ from international recommendations. Click image or “more” for a quick English translation and run-through … Continue reading
The absence of of pain has even been used to differentiate between partial and full thickness burn injury. Traditional teaching is that full thickness burns are painless due to the cutaneous nerve endings being destroyed. A paper in AJEM suggest it´s … Continue reading
A small study in Ann Intensive Care reminds me that lung ultrasound is good at detecting heart failure and differentiating against other causes of acute dyspnoea.
Anesthesia and Analgesia just published a superb review on the current edge of CPR. But everything started with a plunger. Yup! A plunger ! In the late eighties, a son resuscitated his father with the help of a plunger. Poorly … Continue reading
Passing the orogastric tube can be difficult or sometimes impossible. Unfortunately a lot of patients really need their OGs and in a time-critical scenario you don’t want to spend too much time struggling with it. Here is a simple trick a senior … Continue reading
An interesting survey recently published in Resuscitation looks at arrest teams for in-hospital cardiac arrest. As anyone in the FOAM-o-sphere is well aware, trauma teams, prehospital teams and ED cardiac arrest teams are increasingly well oiled and the importance of … Continue reading
The ERC, the European Resuscitation Council, have issued new guidelines for first aid, section 9 of their guidelines. And it includes an interesting and rather controversial take on cervical collars and spinal immobilisation that’s similar to what we have been … Continue reading
Quickie post about an interesting paper I found. Now there is actual evidence of how being a jerk negatively impacts on team performance. An Israeli paper looks at how being exposed to rudeness affects teams in emergent situations.