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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: Neurology
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.
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.
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
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
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