Category Archives: Prehospital 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 | 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

NORWEGIAN GUIDELINES

The Norwegian guidelines for spinal immobilisation were recently published in SJTREM. (Open Access) Our involvement with the development of these started back in 2013 and 2014, when we published some posts that were highly critical of the dominating doctrine of extremely liberal … Continue reading






Posted in Prehospital Medicine, Trauma | 1 Comment

FIELD AMPUTATIONS

A paper in EMJ compares various methods for performing field amputations. I can’t say I ever had to do one myself. However, some of the people I work with have performed amputations on rapidly deteriorating entrapped trauma victims. Most them have relied on the … Continue reading






Posted in Prehospital Medicine, Trauma | 4 Comments

UNDERESTIMATING BLEEDING

Some years ago, while working for an air ambulance, me and an experienced paramedic responded to a pedestrian-vs-car accident. A young female was out driving when she had a flat tire. As she opened the rear compartment to get the spare tire, a second … Continue reading






Posted in Prehospital Medicine, Trauma, Uncategorized | 2 Comments

LONGEST VF

A fascinating case report was recently published in Resuscitation. A young female speleologist was avalanched in the polish Tatra mountains. As she had access to an air pocket and some degree of ventilation she didn’t to succumb to the asphyxiation … Continue reading






Posted in Cardiology, Prehospital Medicine, Wilderness Medicine | 3 Comments

DIRECT LARYNGOSCOPY KILLED THE VIDEO STAR?

Videolarygoscopy (VL). Brave new world. VL makes any intubation easy, and solves airway managment problems. Well, it can be a life-saver, but it also brings its own set of problems. Two new RCTs comparing VL and DL are just out. … Continue reading






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

BP MANAGEMENT IN BRAIN 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.






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

CPR AND AMIODARONE

There’s a new RCT out in NEJM on amiodarone and lidocaine in cardiac arrest. It’s an interesting study we wrote on, but needed a less categorical take. In the unselected study population, amiodarone and lidocaine did little for the patients. … Continue reading






Posted in AHLR, Emergency Medicine, Prehospital Medicine | 9 Comments

NEW CPR GUIDELINES

The Norwegian Resuscitation Council has released revised guidelines for CPR, and presented them at the Scandinavian conference for emergency medicine, SAM 16. These recommendations might differ from international recommendations. Click image or “more” for a quick English translation and run-through … Continue reading






Posted in AHLR, Emergency Medicine, Prehospital Medicine | 4 Comments