Category Archives: Prehospital Medicine

WHAT THE HELL I AM DOING? I AM ENGORGING A VEIN IS WHAT I AM DOING!

I’m not sure where this fits in, in this age of ultrasounding everything, but there is an interesting short report in EMJ. It describes a simple technique to achieve IV access in patients where the periphery is shut down.  A typical scenario … Continue reading

Posted in Emergency Medicine, Prehospital Medicine | 3 Comments

THE MOST SPECTACULAR HELICOPTER RESCUE

A quick non-medical post, but it involves helicopters! There are loads of good Helicopter Emergency Medical Services (HEMS) around. One of the most famous is Rega, a Swiss based HEMS. And they did a spectacular job back in the 80s. … Continue reading

Posted in Prehospital Medicine | 3 Comments

WHY MORE PEOPLE LITERALLY WALK AWAY FROM CAR CRASHES

Posted in Prehospital Medicine, Trauma | Leave a comment

HUNGARIAN APNOEIC OXYGENATION

Apnoeic oxygenation in anaesthesia is the concept of providing oxygenation without ventilation. The idea is that even without lung expansion, oxygen will passively be dragged into the alveoli along the oxygen gradient caused by alveolar oxygen being transported away by the bloodstream. … Continue reading

Posted in Airway management, Prehospital Medicine | 7 Comments

PREHOSPITAL EXTRICATION TIMES

Car accidents with trapped victims can be incredibly frustrating. There is often very little one can do until the rescue services achieve extrication. Sometimes, because of limited patient access, all you can achieve during extrication is some very basic airway management, pain … Continue reading

Posted in Prehospital Medicine, Uncategorized | 4 Comments

CERVICAL COLLARS SLASHED FROM GUIDELINES

There’s been a big discussion on cervical collars in trauma the recent years. We’ve covered the controversy here. Guidelines are usually slow to adapt, but now both national guidelines from the Netherlands and state guidelines from Queensland in Australia seems … Continue reading

Posted in Emergency Medicine, Prehospital Medicine | 15 Comments

‘THE BRAVEST MAN IN THE RAF NEVER TO HAVE FLOWN AN AEROPLANE’

Ages ago, a friend of ours mentioned videos from some dodgy WW2 immersion experiments performed by RAF doctor Edgar Pask. The expermients were part of the development of the modern lifejacket. Apparently Edgar Pask, also a professor of Anesthesia at … Continue reading

Posted in Prehospital Medicine, SAR | Leave a comment

BACK BOARDS AND SPINE IMMOBILISATION

Dr. Ryan Jacobsen, director of the Johnson County EMS in the States, explains why his EMS system isn’t transporting patients on the hard back boards for spine immobilisation. And he makes a great case of it, although they still – … Continue reading

Posted in Emergency Medicine, Prehospital Medicine | 2 Comments

ECMO OUTCOMES IN ACCIDENTAL HYPOTHERMIA

In accidental hypothermic cardiac arrest we are to continue CPR until the patient has been rewarmed to around 34. If available, and appropriate, these patients are to be transferred to a hospital with ECMO capability. ECMO is the most efficient … Continue reading

Posted in ECMO, Prehospital Medicine, SAR | 3 Comments

PRIAPISM AFTER SPINAL CORD INJURY

While the rest of the #FOAMed world went away to fight in the great Cricoid Pressure war, I discreetly retired to my library in order to study the male erection.

Posted in Emergency Medicine, Prehospital Medicine, Trauma, Uncategorized | 10 Comments