Category Archives: Trauma

IO DRUGS AS QUICK AS IV

IO needles are always said to be able to deliver any drug, and with the same speed and onset as their IV cousins – also in critical patients. Most of use don’t really trust that fully, I think. The ones … Continue reading

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CODE BROWN: COMBATIVE AND BLEEDING

I’ve had combative patients in my ER lots of times. Combative enough to warrant sedation or anaesthesia. And bleeding patients. Serious bleeding. Lots of times. But not the extremes of both at the same time.

Posted in Code Brown, Emergency Medicine, Trauma, Ultrasound | 11 Comments

WHY MORE PEOPLE LITERALLY WALK AWAY FROM CAR CRASHES

Posted in Prehospital Medicine, Trauma | Leave a comment

LATERAL VIEW OF THE AORTA

We normally visualise the aorta on ultrasound by scanning down the midline. However, we frequently fail to visualise the entire aorta. The view is often obscured by bowel gas. Abdominal pain often makes the examination intolerable. A small proof-of-concept study in … Continue reading

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HOW I TREAT PATIENTS WITH MASSIVE HEMORRHAGE

This is the rather peculiar title of an great summary paper on the transfusion pratice in massive hemorrhage, mainly focusing on trauma. It describes the background, evidence and use of 1:1:1 transfusions as well as pro-hemostatics and the use of … Continue reading

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LET´S NOT EVER HAVE THAT DISCUSSION AGAIN

Most of us know this so just a quickie post about ketamine and ICP. Two recent papers. First, this meta-analysis lives here. Second, this systematic review lives here:

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MANUAL AORTIC COMPRESSION

There´s an interesting case report in Annals of Emergency Medicine. It describes a case where massive bleeding from the lower abdomen and pelvis was successfully stopped by a burly first responder who applied manual aortic compression.

Posted in Emergency Medicine, Trauma | 7 Comments

ATACC!

The British ATACC concept – Anaesthesia Trauma And Critical Care – is as the name implies a course focusing on the anaesthestic (non-surgical) part of trauma and critical care treatment. The course was developed as a more advanced and up-to-date … Continue reading

Posted in Medical teaching, Trauma | 6 Comments

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 | 11 Comments

QUOTE OF THE MONTH

“Damage control resus can help avoid damage control surgery” – Karim Brohi, smaccGOLD.

Posted in Anesthesia, Emergency Medicine, Trauma | 1 Comment