Category Archives: Emergency Medicine

AVOID THE OXYGEN REFLEX

We’ve been waiting for the AVOID study, since we mentioned it a few years ago in another post on the harm of excessive oxygen. AVOID (Air Versus Oxygen in Myocardial Infarction). Now, it’s out. As expected, it shows that unnecessary … Continue reading

Posted in Cardiology, Emergency Medicine, Intensive Care | 27 Comments

QUOTE OF THE MONTH

Q: How do you approach teaching the honing of skills to picking up high risk disease with a low prevalence? A: “It is a shit-show. let’s just get it out there. these conditions should be missed or we should accept … Continue reading

Posted in Emergency Medicine | 2 Comments

THE STEEL WINDPIPE

We’ve read and heard many accounts of emergency surgical airways over the years. They’re always exciting, and there’s always something new to be learned. Most written accounts are very clinical, so we were thrilled about discovering this story. It’s not … Continue reading

Posted in Airway management, Emergency Medicine, Medical teaching | 4 Comments

I AM THE RESURRECTION

If you make a study on interventions on dead people, you don’t expect much. Well, the Alfred in Melbourne did such a study – and got a resurrection rate of over 50%! Their intervention group was people in refractory cardiac … Continue reading

Posted in Cardiology, ECLS, ECMO, Emergency Medicine, Intensive Care | 1 Comment

CODE BROWN: AHHH…THE OLD SCANCRIT SWITCHEROO…

Someone once said that ‘an esophageal intubation is no sin, but there is great sin in not recognizing such a placement‘. What’s that about? I intentionally intubate the esophagus and I demand recognition for it.

Posted in Airway management, Code Brown, Emergency Medicine, Uncategorized | 10 Comments

E-POINT SEPTAL SEPARATION

A paper in AJEM describes a way to quickly assess left ventricular function that I wasn’t too familiar with. By measuring the distance between the anterior mitral valve and interventricular septum we can roughly assess the heart’s ejection fraction.

Posted in Cardiology, Emergency Medicine, Ultrasound | 5 Comments

LET´S NOT EVER HAVE THAT DISCUSSION AGAIN

Most of us know this so just a quickie post about ketamine and ICP. Two recent papers. First, this meta-analysis lives here. Second, this systematic review lives here:

Posted in Anesthesia, Emergency Medicine, Trauma | Leave a comment

MANUAL AORTIC COMPRESSION

There´s an interesting case report in Annals of Emergency Medicine. It describes a case where massive bleeding from the lower abdomen and pelvis was successfully stopped by a burly first responder who applied manual aortic compression.

Posted in Emergency Medicine, Trauma | 7 Comments

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 | 2 Comments