Category Archives: Prehospital Medicine

SPINAL STABILISATION, STATE OF THE ART? – TBS18

There’s been a lot of debate and controversy over spinal stabilisation in traume the last couple of years. Per Kristian Hyldmo is a HEMS anaesthetist, has done a PhD focusing on transportation of trauma patients including the lateral trauma position, … Continue reading

Posted in Emergency Medicine, Prehospital Medicine, TBS, TBS18, TheBigSick, Trauma | Leave a comment

WHY DO SHOCK PATIENTS HYPERVENTILATE?

This experimental study puts most common assumptions about hyperventilation in hemorrhagic shock on its head. Common thinking is that trauma pts breathe faster because of shock and metabolic demands not being met. This study suggests trauma pts are breathing faster … Continue reading

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

LOW BP CUT-OFF IN BRAIN TRAUMA?

Is systolic blood pressure (SBP) of 90 the magic threshold in traumatic brain injury (TBI)? This observational paper goes through a large prehospital database, and found an association between lower systolic BP and higher mortality. This has created a lot … Continue reading

Posted in Emergency Medicine, Intensive Care, Prehospital Medicine | 2 Comments

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 | 3 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