QUOTE OF THE MONTH

“We have the most powerful, 3D, high-fidelity simulator in the known universe.”

Cliff Reid on running simulation scenarios in your brain.

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CODE BROWN: EMERGENCY SURGICAL AIRWAY REVISITED

Just do it iconI lost my cric virginity to a man on a beach in Australia. The story told here. After this, I’ve been looking into making crics simpler and safer. Talking to colleagues, reading articles, practicing on cadavers and animals – not sure if I would ever need to do a cric in anger again. The method I’ve found is simple and easy. And the other day I got to put it to the test. More>>

Posted in Anesthesia, Emergency Medicine | 6 Comments

BOOM

Think about this the next time you think you know better than the fire brigade. Watch it to the end.

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CRITICAL CARE NUTRITION

iPhoneIcon_Big-28A short post just highlighting a great site for critical care nutrition. Comprehensive, but easy to navigate, it has guides for calculating nutrition, as well as post going through the latest in critical care nutrition. Examples of posts is going through the latest glutamine controversies, as well as early vs late start of feeding for critical care patients. More>>

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HYPOTHERMIC INFECTIONS

iPhoneIcon_Big-2Adding to the discussion on therapeutic hypothermia or just avoiding hyperthermia in cardiac arrest patients after ROSC, there’s a new systematic review slash meta-analysis on infection rates in hypothermic vs normothermic patients. Prolonged therapeutic hypothermia shows an increased risk of pneumonia and sepsis. More>>

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UPDATE ON THE ABDOMINAL AORTIC TOURNIQUET

iPhoneIcon_BigAbdominal aortic tourniquets have been around as an idea for a hundred years but still haven’t been accepted as mainstream trauma care. A small study on volunteers in military medicine tests one of these devices. They seem to work. More>>

Posted in Emergency Medicine, Prehospital Medicine, Uncategorized | 7 Comments

QUOTE OF THE MONTH

“If it looks like a duck, swims like a duck and quacks like a duck we should probably just CT it anyway to make sure it’s a duck.”

- @DrDLittle

Posted in Miscellaneous | 1 Comment

PROGRESS IN PREHOSPITAL SPINAL INJURY MANAGEMENT

iPhoneIcon_BigWe all knew or suspected there was something not right with the way we immobilise virtually all prehospital trauma patients for fear of causing spinal injury. Still, for  some dogma to finally change it has to be endorsed by the academics and the faculties. This is why I am exited about the consensus statement on prehospital spinal precautions from the UK’s Faculty of Pre-Hospital Care. Instead of almost global spine and neck immobilisation of all trauma patients, someone finally tells us to use common sense. We can now start doing something about the overused, misunderstood and sometimes crazy practice that is spinal immobilisation. At least it is a step in the right direction. More>>

Posted in Prehospital Medicine, Trauma, Uncategorized | 5 Comments

β-BLOCKER IN SEPSIS – A TRIAL

iPhoneIcon_Big (3)A small study with patients randomised to standard ICU sepsis therapy, or ICU sepsis therapy with beta blockage. We’ve written about the potential for β-blockage in sepsis earlier. This is the first clinical trial. It shows much better survival for the β-blocker group, but there are a few bumps in the road… More>>

Posted in Intensive Care | 9 Comments

ORGAN DONATION

organ donor

From the excellent XKCD site.

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