SMACC DUB 2016 JUNE 13-16

After a fantastic SMACC conference in Chicago this Summer, preparations for next year’s SMACC in Dublin is well under way. As a conference for Social Media And Critical Care, the SMACC conference is not just an update on cutting edge in Emergency Medicine and Critical Care, it is also very much a conference the way conferences should be: It adds to your motivation and inspires to drive yourself further.

It does this through the talks, and also through the social side of SMACC: it is a place to meet and network. Not network in the formal business understanding, but in the way of meeting and interacting with real people with similar interests. The social side of SMACC is its major point. It makes SMACC unique.

And the best part is that this is driven by you – the delegates. And it works. People meet, interact, learn and have a great time. Dublin promises to be a great setting for the SMACC crew and delegates to make this happen again!

We hope to see you at SMACC in Dublin 13th to 16th of June!

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FAST THORACOTOMY

Penetrating arrestUltrasound 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 of Surgery looks into this. What we can take home is that cardiac standstill on ultrasound is always a bad sign. More>>

Posted in AHLR, Trauma, Ultrasound | 4 Comments

SOLVING DIFFERENTIAL OXYGENATION IN VA-ECMO

ECMO post iconECMO can fix anything. But, surprisingly, it has some limitations. One of them is differential oxygenation in VA-ECMO, also known as watershed. A recent paper looks into new ECMO set-ups in an experimental animal model that seeks to solve the differential oxygenation problem, and it seems they’re on to something. Now, this is a rather long post, but hopefully it’s worth it. More>>

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EWWW!

iPhoneIcon_BigI found two interesting papers in EMJ. Both recently published. If you intubate a fresh frozen cadaver and ventilate you will get a transient capnography trace very similar to a trace from a living patient. I had heard about it before but haven’t seen any evidence until now. More>>

Posted in Airway management, Cardiology, CPR, Emergency Medicine | 1 Comment

ARCHAIC TRAUMA LIFE SUPPORT

imageThere’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 who won’t frequently manage trauma. More>>

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

iPhoneIcon_BigI’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 could be a patient in shock were all you can get in is a pathetic 22-24G cannula on the hand, when what you really want to do is a rapid infusion through a 14-16G in the cubital vein. More>>

Posted in Emergency Medicine, Prehospital Medicine | 4 Comments

CRACK THE CHEST – GET CRUCIFIED

This is John Hinds. Recorded at the fantastic SMACC Chicago conference, June 24th 2015.

Also, if you do any ICU stuff, go over to EMCRIT at this link and listen to John’s brilliantly provoking ICU talk. This is sheer genius – and entertaining. We’ll miss you.

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THE ONE-TWO PUNCH

iPhoneIcon_Big (1)Interesting case reports on cardiac arrest patients with refractory VF. One was shocked 7 times – with a change in pad location. No luck. For the 8th shock, they hooked the patient up to a second defibrillator, and shocked him sequentially. One defib fired straight after the other in a 1-2 punch fashion. And got him into sinus rhythm. More>>

Posted in CPR, Emergency Medicine | 5 Comments

E-CPR STRIKES AGAIN

iPhoneIcon_BigECMO for cardiac arrest, E-CPR, has been shown several times to increase survival more than any other intervention we have available. Here’s yet another retrospective study to support the findings in previous trials (links at end of post). Survival with good neurological outcome increased from 7.5% to 40% with E-CPR! More>>

Posted in Cardiology, ECMO, Emergency Medicine | 11 Comments

IO DRUGS AS QUICK AS IV

iPhoneIcon_BigIO 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 who trust the IO route are the ones that have been forced to rely on them – like military medical services. Especially front line services like the British MERT. So, to document the IO’s usefulness, they made a trial to convince us. More>>

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