Category Archives: Prehospital Medicine

LONGEST VF

Posted on June 15, 2016 by K

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?

Posted on May 4, 2016 by Thomas D

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

Posted on April 21, 2016 by K

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

CPR AND AMIODARONE

Posted on April 11, 2016 by Thomas D

There’s a new RCT out in NEJM on amiodarone and lidocaine in cardiac arrest. It’s an interesting study we wrote on, but needed a less categorical take. In the unselected study population, amiodarone and lidocaine did little for the patients. … Continue reading →

Posted in AHLR, Emergency Medicine, Prehospital Medicine | 9 Comments

NEW CPR GUIDELINES

Posted on April 8, 2016 by Thomas D

The Norwegian Resuscitation Council has released revised guidelines for CPR, and presented them at the Scandinavian conference for emergency medicine, SAM 16. These recommendations might differ from international recommendations. Click image or “more” for a quick English translation and run-through … Continue reading →

Posted in AHLR, Emergency Medicine, Prehospital Medicine | 4 Comments

PAIN CAN´T BE USED TO DIFFERENTIATE BETWEEN PARTIAL AND FULL THICKNESS BURNS

Posted on March 19, 2016 by K

The absence of of pain has even been used to differentiate between partial and full thickness burn injury. Traditional teaching is that full thickness burns are painless due to the cutaneous nerve endings being destroyed. A paper in AJEM suggest it´s … Continue reading →

Posted in Emergency Medicine, Prehospital Medicine | Leave a comment

THE LATERAL TRAUMA POSITION

Posted on February 7, 2016 by K

Transporting unconscious or obtunded victims supine can be dangerous as it may result in mechanical obstruction of the airway or fluid aspiration unless the airway is secured. Traditionally, EMS have used the recovery position with the victim lying on his/her side , … Continue reading →

Posted in Prehospital Medicine, Trauma | 7 Comments

IT ALL STARTED WITH A PLUNGER

Posted on December 2, 2015 by Rémi F

Anesthesia and Analgesia just published a superb review on the current edge of CPR. But everything started with a plunger. Yup! A plunger ! In the late eighties, a son resuscitated his father with the help of a plunger. Poorly … Continue reading →

Posted in CPR, Emergency Medicine, Prehospital Medicine | Leave a comment

OWN THE O.G.

Posted on November 13, 2015 by K

Passing the orogastric tube can be difficult or sometimes impossible. Unfortunately a lot of patients really need their OGs and in a time-critical scenario you don’t want to spend too much time struggling with it. Here is a simple trick a senior … Continue reading →

Posted in Airway management, Anesthesia, Emergency Medicine, Intensive Care, Prehospital Medicine, Uncategorized | 8 Comments

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

Posted on July 8, 2015 by K

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 | 4 Comments