ATACC!

iPhoneIcon_BigThe 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 answer to the basic and slow-changing ATLS. The full ATACC manual is available free online . true #FOAM! More>>

Posted in Medical teaching, Trauma | 6 Comments

ANYONE CAN LEARN CPR

ANYONE can learn CPR

Posted in CPR, Humour | Leave a comment

QUOTE OF THE MONTH

“The CXR is a dying breed in the acute assessment of trauma.”

- Brian Burns, Greater Sydney HEMS.

Posted in Ultrasound | Leave a comment

PNEUMONIA AND ED ULTRASOUND

iPhoneIcon_BigA 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. More>>

Posted in Emergency Medicine, Ultrasound, Uncategorized | 5 Comments

JUNE 23-26 2015 – SAVE THE DATE!

SMACC GOLD is just over, and the amazing presentations from that conference is starting to get posted. For a taster, watch Haney Mallemat give a SMACC talk on the biggest ICU challenge: The art and science of fluid responsiveness. Also there were top speakers like Karim Brohi, Scott Weingart, Cliff Reid and lots of other great docs. They’re not only great docs, but also great presenters and entertainers. And they will be there for SMACC Chicago. Learning doesn’t have to be boring! This will be a conference to look forward to, not just for the great talks and information, but for the experience. More>>

SMACCago june

More>>

Posted in Uncategorized | Leave a comment

ECMO OUTCOMES IN ACCIDENTAL HYPOTHERMIA

iPhoneIcon_BigIn accidental hypothermic cardiac arrest we are to continue CPR until the patient has been rewarmed to around 34. If available, and appropriate, these patients are to be transferred to a hospital with ECMO capability. ECMO is the most efficient means we have for reheating hypothermic patients. Rewarming rates up to 12 C/h are possible with the fastest devices. ECMO will also provide circulatory and respiratory support during resuscitation and after ROSC when these patients are notoriously unstable. A small retrospective study in AJEM looks at outcomes. It is a tiny study but nevertheless interesting as the results are good but also as it comments on the hypothermic cardiac arrest patients with asphyxia as part of their mechanism. More>>

Posted in ECMO, Prehospital Medicine, SAR | 1 Comment

PRIAPISM AFTER SPINAL CORD INJURY

iPhoneIcon_BigWhile 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. More>>

Posted in Emergency Medicine, Prehospital Medicine, Trauma, Uncategorized | 8 Comments

ELECTROLARYNX – TALK WHILE INTUBATED

Electrolarynx iconFor awake, intubated patients a great frustration is the inability to speak. A great little report in NEJM shows a novel use of the electrolarynx – that little device some laryngectomised patients hold to their neck to produce robot sounding speech. But here, the authors used the electrolarynx on an awake, intubated patient. More>>

Posted in Intensive Care | Leave a comment

QUOTE OF THE MONTH

“Damage control resus can help avoid damage control surgery”

- Karim Brohi, smaccGOLD.

Posted in Anesthesia, Emergency Medicine, Trauma | 1 Comment

TO HALVE OR NOT TO HALVE

Hemicraniectomy-iconAn interesting study on outcomes for hemicraniectomies after extensive middle-cerebral-artery stroke. Hemicranectomies in cerebral oedema is not new, and has shown improved survival, but at the cost of severe disability. But what do the patients say? More>>

Posted in Emergency Medicine | Leave a comment