Category Archives: Neurology

KANYE INTUBATE THIS GUY FOR ME PLEASE?

The decision to anaesthetise and intubate is not always an easy one. When learning to anaesthetise and intubate we are often told that a GCS of 8 or less is when the patient scores a tube in trauma. Reality is … Continue reading

Posted in Airway management, Emergency Medicine, Neurology, Prehospital Medicine, Trauma | Leave a comment

THROMBOLYSIS FOR STROKE? THE IST-3 TRIAL

I am probably the last person on earth to read the IST-3 trial. In short, the authors’ conclusion of ´strong support for thrombolytics in stroke´ was pisspreik somewhat controversial and generated some discussion. Read this excellent post about the IST-3 trial and thrombolysis … Continue reading

Posted in Emergency Medicine, Miscellaneous, Neurology | 1 Comment

EMERGENCY BURR HOLES

Expanding epidural and subdural hematomas present a challenge for the docs working in rural or smaller hospitals. Most of us don’t have the training or equipment to perform the potentially lifesaving decompression. An article in Scandinavian Journal of Trauma, Resuscitation and … Continue reading

Posted in Emergency Medicine, Intensive Care, Neurology, Trauma | 4 Comments

WHY THE GLASGOW COMA SCALE HAS GOT TO GO

Whenever my colleagues or nurses ask me what GCS a patient has, I just make something up that sounds about right. Judging by their smirks I know they think that they know I didn’t check properly. The truth is far … Continue reading

Posted in Emergency Medicine, Neurology, Trauma | 24 Comments