Category Archives: Prehospital Medicine

‘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

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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 | 1 Comment

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

THAT’S 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 | 30 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.

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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 | 11 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 | 7 Comments