Category Archives: Uncategorized

PREHOSPITAL EXTRICATION TIMES

Car accidents with trapped victims can be incredibly frustrating. There is often very little one can do until the rescue services achieve extrication. Sometimes, because of limited patient access, all you can achieve during extrication is some very basic airway management, pain … Continue reading

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EARLY VS LATE INTUBATION OF BURNS

We are taught to intubate victims with inhalational injury early. If we delay for too long the tongue, epiglottis and other structures can swell and cause airway obstruction, forcing an emergency intubation that is more likely to be difficult or failed. A … Continue reading

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IMAGING CASE OF THE MONTH

XKCD nails it. Again.

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GOOOOOD MORNING, EUROPE!

SMACC registration is now open! As with previous years, reservations are going fast. Two thirds of the early bird reservations are already gone, so this will be another fantastic SMACC conference! Have a look at the program and the workshops, … Continue reading

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SONONORWAY, FEBRUARY 9.-12. 2015

The ultrasound experience is finally coming to Norway, and what a faculty! Featuring Vicky Noble, ass.prof at Harvard and director of Massachusetts General Hospital’s emergency ultrasound program. She has an impressive list of publications on ultrasound, and is also a … Continue reading

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CODE BROWN: AHHH…THE OLD SCANCRIT SWITCHEROO…

Someone once said that ‘an esophageal intubation is no sin, but there is great sin in not recognizing such a placement‘. What’s that about? I intentionally intubate the esophagus and I demand recognition for it.

Posted in Airway management, Code Brown, Emergency Medicine, Uncategorized | 10 Comments

SC BETTER THAN IC

A study in AJEM compares ultrasound visualisation of the subclavian vein using the supraclavicular and infraclavicular approaches.  With the increasing dominance of procedural ultrasound in central vein cannulation, perhaps there will be a shift towards supraclavicular cannulation at the expense … Continue reading

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DONUT OF LIFE?

It’s long been an accepted standard to stay and stabilise or go directly to OR with any unstable trauma patient – and never EVER take them to CT first. And it made sense, as radiology has never been a good … Continue reading

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QUOTE OF THE MONTH

@SydneyHEMS defines the #FOAM mantra: @OneArmWonder All operating procedures at http://t.co/yqwRy4wB1v We're happy to share anything with anyone and always keen to learn — SydneyHEMS (@SydneyHEMS) August 6, 2014

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PNEUMONIA AND ED ULTRASOUND

A study in AJEM sets out to compare diagnostic accuracy between chest x-rays and lung ultrasound for diagnosing pneumonia. Other recent ED studies have consistently shown how lung ultrasound outperforms chest x-rays when diagnosing pneumonia.

Posted in Emergency Medicine, Ultrasound, Uncategorized | 5 Comments