Category Archives: Prehospital Medicine

TACTICAL TRAUMA 17 – October 10-11th 2017

A great Scandinavian conference is coming up October 10-11th 2017! In the small, but beautiful town of Sundsvall, Fredrik Granholm has managed to lure some of the great minds and presenters within tactical trauma and trauma care to gather there. … Continue reading






Posted in Emergency Medicine, Medical teaching, Prehospital Medicine, SAR, Trauma | Leave a comment

O2 NOT NEEDED IN MYOCARDIAL INFARCTION

There’s not much left of poor MONA. We’ve written on unnecessary O2 treatment before, ie the AVOID trial. And now, one of the large RCTs on the subject is out. The DETO2X-SWEDEHEART investigators (love the acronym) have published their findings … Continue reading






Posted in Anesthesia, Cardiology, Emergency Medicine, Prehospital Medicine | 2 Comments

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 | 8 Comments

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