Posts tagged ‘prehospital’
CJEM recently featured an article investigating the safety and efficacy of a prehospital treat and release protocol for uncomplicated SVT
— MedicNerd (@MedicNerd_com) August 27, 2015
Airway management by physician-staffed Helicopter Emergency Medical Services – a prospective, multicentre, observational study of 2,327 patients
FOAMEd open access study of prehospital physician led airway management.
French SMUR : Medical pre-hospital management reduces mortality in severe blunt trauma: a prospective epidemiological study
Important open access paper from a few years ago from France on role of prehospital critical care in severe trauma.
This paper in my opinion, is not about physician vs paramedic model of prehospital care. It is more about what meaningful interventions may improve care. Here they argue prehospital RSI is a major factor. The use of prehospital vasopressors to minimise IV fluids is a controversial policy in trauma but may have a role in select cases. Love to read your comments on this notable paper!
— Jess (@EMS_Junkie) July 24, 2015
Kudos and thanks to Taming the SRU for recording and posting this video.
Here is the full report
Editor’s note: Yes… norepinephrine and crystalloid resuscitation for haemorrhagic shock..not ideal but remote medicine is like this at times! Its easy to blame prolonged tourniquet application for loss of leg but a severed femoral artery is also likely culprit too! IN my book the guy is lucky to be alive regardless!