Posts from the ‘Uncategorized’ Category
This slideshow, assembled by Dr Chris Denny, shows the ARHT & Auckland HEMS team during the first two years of the HEMS initiative. It was presented at a recent strategic planning meeting to plot the future course of the service. The gentleman whose photo is shown at the start is the late Dr Robin Mitchell, a UK-trained emergency physician who was instrumental in laying the groundwork for Auckland HEMS.
Sorry to carry on about this, but I can't help myself...
The other night SBS television in Australia aired a special on stroke (found online here) It brought together some stroke survivors, neurologists, emergency doctors and so on to discuss stroke and stroke treatment. Of course the issue of tPA for stroke reared it's ugly head again and it is clear that the debate over this has not been settled.
I wonder if the authors of the October 4th's NEJM Journal Watch Alert saw the irony?
Firstly a review of a paper which examined the utility of the precordial thump for out of hospital cardiac events.
Nehme Z, Andrew E, Bernard SA, Smith K. Treatment of monitored out-of-hospital ventricular fibrillation and pulseless ventricular tachycardia utilising the precordial thump. Resuscitation 2013 Aug 29…
This course is pretty soon but it looks like it will be great fun! the good folks at Nepean hospital in Western Sydney really know how to lay on a good course. So if you've got a day free and need to keep your accountant busy with tax deductions you should head along. I have no financial interest in the course, but a good friend of mine is on the faculty so I can vouch for it!
From The Intensive Care Network - another podcast from the SMACC 2013 conference. This is Dr Karel Habig, Medical Director of the Greater Sydney Area HEMS, discussing how experience from aeromedical retrieval can improve medical practice.
Click HERE for the audio (right click to open it in a new tab), accompanying slides are below:
In the latest edition of Air Medical Journal the British Columbia Ambulance Service's AirEvac And Critical Care Operations has published a case series detailing the use of tranexamic aid by flight paramedics.
The abstract for the paper can be found HERE. The paper details 13 patients who recieved TXA over a 4 month period, with 9 patients from MVAs, 3 patients who had fallen, and one industrial accident.
Here are the slides and references for the talk I'm giving on Acute Liver Failure (ALF) at the Bedside Critical Care meeting in Cairns, QLD on Thursday 26th September 2013.
Lee WM, Stravitz RT, Larson AM. Introduction to the revised American Association for the Study of Liver Diseases position paper on acute liver failure 2011.
Here is another guest post by my colleague James. This is an excellent piece on the importance of approaching scenarios in a cohesive, standardised manner that still allows some flexibility. Emergency medicine is actually based on some pretty simple concepts as James discusses.
As an ALS clinical instructor who also dabbles in teaching at university, the one single concept I harangue all my students with is the idea of having a good clinical approach.
OK, thanks to all who answered CASE#6 'Find the bleeding, stop the bleeding'
Plenty of good ideas, although some of the options are more realistic than others given the inevitable constraints of rurality. Glad that none followed the EMST mantra to the letter and killed him...
The setting of rural Australia poses a challenge, especially for those used to working in larger centres.
I was just given a fantastic reminder of just how excellent social media can be for those of us in the medical fields. That's right, it's not just for drunken rambling or posting photos of your lunch/cat/alcohol/genitals...
I was browsing twitter when I came across the following tweet
Clicking through to the article I found that the first part of the article referred to Victorian Paramedics "failing" diabetics due to gaps in our training....
Critical illness is part of the remit of rural doctors, albeit encountered relatively infrequently - which of course makes it all the more challenging! Moreover rural doctors have to deal with such cases with limited staff, no backup and paucity of lab tests and definitive care.
Perhaps one of the most commonly encountered true emergencies in the bush is dealing with major haemorrhage.