Category Archives: Prehospital Medicine

RSI AND PERMISSIVE HYPOTENSION

Posted on May 8, 2013 by K

A study in Injury looks at what happens to our patients´ blood pressures when we do rapid sequence inductions for intubation. With all the talk of ´permissive hypotension´  in modern trauma management this could be important.

Posted in Airway management, Emergency Medicine, Prehospital Medicine | 2 Comments

INSIDE COMBAT RESCUE

Posted on March 22, 2013 by Thomas D

A pretty interesting look inside the US Air Force’s Combat Rescue Choppers in Afghanistan. A five part series on youtube. Having worked in helicopters, I’m impressed with all the procedures these guys perform in-flight. BONUS: Airway porn in episode 5 … Continue reading →

Posted in Prehospital Medicine | 2 Comments

THE GCS STILL DOES NOT BELONG IN EMERGENCY MEDICINE

Posted on March 19, 2013 by K

A while ago we wrote about the Glasgow Coma Scale and how it can´t be relied on for trauma patients or in emergency medicine in the acute phase.  We based it on an excellent editorial written by a Dr Stephen … Continue reading →

Posted in Emergency Medicine, Prehospital Medicine, Trauma | 1 Comment

ARCTIC CPR

Posted on March 18, 2013 by K

Just wanted to share this photo that was on the front page of a norwegian national paper called Verdens Gang. It is from the evacuation of an avalanche victim that tragically passed away a few hours after this photograph was … Continue reading →

Posted in Prehospital Medicine, Wilderness Medicine | 5 Comments

TUNNEL CREEK AVALANCHE

Posted on February 17, 2013 by K

In NY times I found this incredible piece about avalanches and avalanche survival. It is a detailed description of what went down (other than heaps and heaps of snow…) when an avalanche hit 16 backcountry skiers in the Cascades. A … Continue reading →

Posted in Prehospital Medicine, Wilderness Medicine | Leave a comment

FATTIES IN SMALL CARS

Posted on January 30, 2013 by K

An article in EMJ confirms a very valuable lesson I once learnt from a veteran paramedic. Fat people are more prone to suffering serious injury or death in car accidents.

Posted in Prehospital Medicine, Trauma | 1 Comment

IMAGING CASE OF THE MONTH

Posted on January 29, 2013 by Thomas D

OK, that’s it! I’m off to Germany! I don’t care if they treat their registrars like shit, as long as I get to drive a Porsche with prehospital ECMO.

Posted in ECMO, Prehospital Medicine | 2 Comments

OFFICER, YOU´RE STANDING ON A FOREIGN INVASIVE OBJECT!

Posted on January 14, 2013 by K

Prehospital emergent intubations are messy affairs. There are the risks inherent to intubating a critically ill patient where vomit, blood and secretions risk blocking your laryngoscopy view or risk contaminating the patients airway. The fact that you are performing an … Continue reading →

Posted in Airway management, Prehospital Medicine | 1 Comment

COMPRESSIONS-ONLY CPR AT LEAST NOT WORSE THAN TRAD CPR

Posted on December 22, 2012 by K

Evidence proving compressions-only CPR is superior to the traditional CPR with rescue breathing is lacking. The studies that exist are inconclusive. Now a study in Circulation meta-analyses two of the older studies, and says there actually might be improved survival with … Continue reading →

Posted in CPR, Emergency Medicine, Prehospital Medicine | 1 Comment

DRIP DROP

Posted on December 16, 2012 by Thomas D

You might end up somewhere, sometime when you need to give a patient an infusion without an infusion pump to help you. We doctors don’t know anything about stuff like that. Nurses to the rescue!

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