Category Archives: Neurology

BP MANAGEMENT IN BRAIN BLEEDS – ATACH 2

Posted on July 25, 2016 by K

 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

BP MANAGEMENT IN BRAIN BLEEDS

Posted on April 21, 2016 by K

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.

Posted in Emergency Medicine, Intensive Care, Neurology, Prehospital Medicine, Uncategorized | 1 Comment

KANYE INTUBATE THIS GUY FOR ME PLEASE?

Posted on January 22, 2014 by K

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 | 1 Comment

THROMBOLYSIS FOR STROKE? THE IST-3 TRIAL

Posted on July 18, 2012 by K

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

Posted on May 20, 2012 by K

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

Posted on November 28, 2011 by K

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 | 28 Comments