Category Archives: Prehospital Medicine

THATS HOW I (WAS) ROLL(ED)

We try to avoid putting personal stuff on this blog, but my personal observations from being a trauma patient fits too well with Thomas D’s righteous rant about logrolls a few days ago. He wrote about how the logroll, as a … Continue reading

Posted in Emergency Medicine, Prehospital Medicine | 2 Comments

CERVICAL COLLAR R.I.P.

And so the rigid cervical collar is laid to rest in the Emergency Medical Service (EMS) of Bergen, Norway. Bergen is the second largest city in Norway, and has an active HEMS department at Bergen University Hospital. Particularly, HEMS doc … Continue reading

Posted in Emergency Medicine, Prehospital Medicine | 27 Comments

OPEN CHEST COMPRESSIONS IN MEDICAL CARDIAC ARREST

Despite all the thousands of man-hours and gazillions of money going into researching stuff like therapeutic hypothermia and adrenaline in cardiac arrest we really haven’t got the breakthrough we deserve. With the exception of pockets of excellence, ROSC rates have been … Continue reading

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

BOOM

Think about this the next time you think you know better than the fire brigade. Watch it to the end.

Posted in Prehospital Medicine, SAR | Leave a comment

UPDATE ON THE ABDOMINAL AORTIC TOURNIQUET

Abdominal aortic tourniquets have been around as an idea for a hundred years but still haven’t been accepted as mainstream trauma care. A small study on volunteers in military medicine tests one of these devices. They seem to work.

Posted in Emergency Medicine, Prehospital Medicine, Uncategorized | 7 Comments

PROGRESS IN PREHOSPITAL SPINAL INJURY MANAGEMENT

We all knew or suspected there was something not right with the way we immobilise virtually all prehospital trauma patients for fear of causing spinal injury. Still, for  some dogma to finally change it has to be endorsed by the … Continue reading

Posted in Prehospital Medicine, Trauma, Uncategorized | 5 Comments

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

PREHOSPITAL RSI AS SAFE AS HOSPITAL RSI

A study in EMJ shows us how safe prehospital RSI can be when really robust operating procedures are in place. In my view it is also more evidence of the superiority of the doctor-paramedic model in prehospital care. During a … Continue reading

Posted in Airway management, Prehospital Medicine, Uncategorized | 14 Comments

CODE BROWN – NOT SO TERMINAL VELOCITY

A few months ago , me and a paramedic responded to a serious fall incident. We were told about an little old lady in her 80s that had fallen from the top of multi-storey garage in the city. The poor … Continue reading

Posted in Code Brown, Emergency Medicine, Prehospital Medicine | 3 Comments

ULTRASOUND AND TUBE POSITION

A study in critical ultrasound journal demonstrates how tracheal ultrasound is almost as good as end-tidal CO2 monitoring for verifying ET-tube position. 

Posted in Airway management, Anesthesia, Emergency Medicine, Prehospital Medicine | 6 Comments