Category Archives: Trauma

THE LATERAL TRAUMA POSITION

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

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TRAUMA IS THE OLD MAN´S DISEASE

Traditional teaching is that trauma is the young male´s disease. Young males are exposed to accidents and violence. Young males also tend to engage in profoundly stupid activities. However, since a decade or so there is a shift. Major trauma in … Continue reading

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ERC CERVICAL COLLAR SCEPTICS

The ERC, the European Resuscitation Council, have issued new guidelines for first aid, section 9 of their guidelines. And it includes an interesting and rather controversial take on cervical collars and spinal immobilisation that’s similar to what we have been … Continue reading

Posted in Emergency Medicine, Trauma | 2 Comments

FAST THORACOTOMY

Ultrasound is being used for procedures and decision making everywhere. Now, someone’s evaluated it for decision making in penetrating trauma cardiac arrest emergent thoracotomies. Is there a place (and time) for ultrasound in this setting? A new article in Annals … Continue reading

Posted in AHLR, Trauma, Ultrasound | 4 Comments

ARCHAIC TRAUMA LIFE SUPPORT

There’s an interesting, important, editorial in Anaesthesia. It is a fair criticism of ATLS. It starts with the historical background, details it’s modern weak points and concludes with how ATLS should be regarded as an entry level course for clinicians … Continue reading

Posted in Trauma | 3 Comments

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

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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

Posted in Emergency Medicine, Trauma, Ultrasound | Leave a comment

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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