Category Archives: Emergency Medicine

INTUBATION IN ARREST – AGAIN

Another study on airway management in cardiac arrest was just published in JAMA. The study was done in Denmark, where all intubations elective and emergency are done by anaesthestetists. It was a retrospective study, where they matched intubated patients with … Continue reading






Posted in Airway management, Anesthesia, CPR, Emergency Medicine, Prehospital Medicine | 5 Comments

USE ULTRASOUND FOR FEMORAL CANNULATION IN ARREST

For vascular access, you still hear the old “We don’t have time for using ultrasound – this is an emergency!”. In many settings, the old landmark techniques are quick and good in experienced hands. But when going for the femoral … Continue reading






Posted in Anesthesia, Cardiology, CPR, ECLS, ECMO, Emergency Medicine, Ultrasound | Leave a comment

CAN PLATELETS TAKE THE HEAT – OR CRACK UNDER PRESSURE?

Old dogma die hard. One of them is not heating platelets when giving transfusions. This breaks up the flow of transfusions and makes the process somewhat erratic. But the platelets are obviously heated when entering the body – the extra … Continue reading






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

AVALANCHE

ScanCrit is currently having a mini-symposium in Zermatt, and it includes leisure-time skiing. The conditions have been less than favourable, windy with low cloud cover and bad visibility – but also lots of fresh snow. This creates a high risk … Continue reading






Posted in Emergency Medicine, Prehospital Medicine, Trauma, Wilderness Medicine | Leave a comment

ECMO AT THE LOUVRE

ECMO at the Louvre, two art forms meet. We first tweeted this photo back in 2014, and now the case report behind the image has just been published. The case report highlights both the possibilities of new frontiers in medicine, … Continue reading






Posted in CPR, ECLS, ECMO, Emergency Medicine | 3 Comments

TIME TO BE COOL

Cooling in cardiac arrest has had its ups and downs. First, it was cool with 32-34 degrees, then TTM said 36 degrees was fine. So, what’s the optimal brain temperature post arrest? One of the problems with the TTM study … Continue reading






Posted in Cardiology, Emergency Medicine | 3 Comments

BCheE

I found an editorial in BJA that describes an issue with succinylcholine I wasn’t really aware of. Butyrylcholinesterase (BCheE) hyperactivity. BCheE is the non-specific cholinesterase that rapidly hydrolyses succinylcholine in the blood so that only 10% of the injected drug … Continue reading






Posted in Airway management, Anesthesia, Emergency Medicine | Leave a comment

BP MANAGEMENT IN BRAIN BLEEDS – ATACH 2

 A trial called ATACH-2 (Antihypertensive Treatment of Acute Cerebral Hemorrhage II), recently published in NEJM, is likely to temper the enthusiasm for aggressively lowering blood pressure in patients with intracranial bleeds.






Posted in Emergency Medicine, Neurology, Uncategorized | 1 Comment

FIGHT FIRE WITH FIRE – 10 RESUS ORDERS

We all know that there’s so much to learn from other professions whom, although working outside of healthcare, function in comparably unpredictable high risk, high pressure environments. This mutual cross-pollination enriches the way we think about and look at our … Continue reading






Posted in Emergency Medicine, Miscellaneous | Leave a comment

ATLS EVOLVING

We’ve often critisised ATLS. Part of it because many healthcare workers take the ATLS manual as divine law. And many of them don’t keep up with the changes in the new ATLS editions – so they cling to even older … Continue reading






Posted in Emergency Medicine, Trauma | 1 Comment