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Studies in Blood from Iran – A Quick Review

Originally posted on The Collective:

We all want to stop bleeding. Here’s a quick review from Dr Alan Garner of a paper coming out of Iran that looks at haemostatic dressings. 

Hatamabadi HR et al. Celox-Coated Gauze for the Treatment of Civilian Penetrating Trauma: A Randomized Clinical Trial. Trauma Monthly. 2014;20:e23862. dii: 10.5812/traumamon.23862

There is not a lot of data on haemostatic dressings in the civilian context and human data from the military context is not randomised for obvious reasons. It is therefore nice to see a RCT on this subject in humans. In the study they compare the time to haemorrhage control and amount of haemorrhage in stab wounds to the limbs between 80 patients treated with Celox gauze versus 80 patients treated with normal gauze.

The study is from an emergency department in Tehran and is pragmatic in design. There are some limitations of the study worth mentioning. It was open label, and…

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Why Bruce Lee would have come to SMACC

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Rationale for prehospital soft neck collar use

FOAM IS SOFT! image from foambymail.com

FOAM IS SOFT!
image from foambymail.com

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Cervical collars and children – an update

Rob Bryant on Damn Sexy Intubation

Rob Bryant on Damn Sexy Intubation at CASS, 2015.05.28 from Justin Cook on Vimeo.

Train like you fight

Laryngobeer Bottle-Opener Mannequin from AirwayNautics on Vimeo.

PHARM Podcast 117 : Every Breath You Take

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Direct vs. Video Laryngoscopy in 10 Minutes by Dr Reuben Strayer

Eco-ALS and mechanical chest compressions: that’s the way I like to run a code!

Originally posted on MEDEST:

47 ysr old male collapsed on the field. First ALS unit found him arrested in VF.
Shocked 3 times he regained a palpable central pulse.
When we arrived the patient arrested again. VF on the monitor. Shocked 4 times. Mechanical chest compression and tracheal intubation on board. He received Epi, Amio (300+150), Calcium Gluconate and Bicarb (suspected iper K in kidney insufficiency) before the ROSC.
15 minutes passed from the collapse to ROSC,  7 of wich were of “no flow” (no chest compressions, no AED from bystanders).
PMH: Hypertension, kidney insufficiency, heavy smokers. Medication history unknown.
He had chest pain before collapsing, as referred from bystanders.

Vitals at ROSC: GCS 3 T, RR 10 MV, SaO2 100%, EtCO2 35,  HR 70 bpm. NIBP 100/70 12 lead EKG at ROSC is shown below

ROSC IMA

An echo of the heart performed on the field (in the ambulance running to the ED, so I…

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PowerPoint should be banned. This PowerPoint presentation explains why.

Keep your hands off our Ambos!


PLEASE SHARE THIS IMPORTANT MESSAGE AMONGST YOUR COLLEAGUES, FRIENDS AND FAMILY.

Retrieval 2015 – A Twitter story by Dr Jon McCormack

Storify essay here!

 

LIVE IN CHICAGO! THE SMACC CUP SONG!

SMACC Cup by Dr Ken Milne

SMACC Cup by Dr Ken Milne

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SALAD with your VOMIT?

SALAD Active Vomit Demonstration UW HEMS May 2015 from AirwayNautics on Vimeo.

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