Advanced interventions in the pre-hospital resuscitation of patients with non-compressible haemorrhage after penetrating injuries | Critical Care | Full Text

Early haemorrhage control and minimizing the time to definitive care have long been the cornerstones of therapy for patients exsanguinating from non-compressible haemorrhage (NCH) after penetrating injuries, as only basic treatment could be provided on scene. However, more recently, advanced on-scene treatments such as the transfusion of blood products, resuscitative thoracotomy (RT) and resuscitative endovascular balloon occlusion of the aorta (REBOA) have become available in a small number of pre-hospital critical care teams. Although these advanced techniques are included in the current traumatic cardiac arrest algorithm of the European Resuscitation Council (ERC), published in 2021, clear guidance on the practical application of these techniques in the pre-hospital setting is scarce. This paper provides a scoping review on how these advanced techniques can be incorporated into practice for the resuscitation of patients exsanguinating from NCH after penetrating injuries, based on available literature and the collective experience of several helicopter emergency medical services (HEMS) across Europe who have introduced these advanced resuscitation interventions into routine practice.
— Read on ccforum.biomedcentral.com/articles/10.1186/s13054-022-04052-7

Pre-hospital ECMO enters Dutch HEMS | AirMed&Rescue

A study currently underway in the Netherlands will ultimately deliver nationwide coverage of extra corporeal membrane oxygenation (ECMO) treatment onboard emergency medical helicopters
— Read on www.airmedandrescue.com/latest/long-read/pre-hospital-ecmo-enters-dutch-hems

The use of transcranial ultrasound and clinical assessment to diagnose ischaemic stroke due to large vessel occlusion in remote and rural areas

The use of transcranial ultrasound and clinical assessment to diagnose ischaemic stroke due to large vessel occlusion in remote and rural areas
— Read on journals.plos.org/plosone/article

Is Prehospital Ketamine Associated With a Change in the Prognosis of PTSD? | Military Medicine | Oxford Academic

ABSTRACTIntroduction. Ketamine is an alternative to opioids for prehospital analgesia following serious combat injury. Limited research has examined prehospital
— Read on academic.oup.com/milmed/advance-article/doi/10.1093/milmed/usac014/6519201

Prehospital Care: An International Comparison of Independently Developed Training Courses – Air Medical Journal

Prehospital Care: An International Comparison of Independently Developed Training Courses – Air Medical Journal
— Read on www.airmedicaljournal.com/article/S1067-991X(21)00237-6/fulltext

Pre- and apnoeic high-flow oxygenation for rapid sequence intubation in the emergency department (the Pre-AeRATE trial): A multicentre randomised controlled trial – Annals Singapore

Critically ill patients in the emergency department (ED) have shorter safe apnoea times due to physiological distress from decreased cardiac output, increased shunting and reduced pulmonary reserves.1 Hypoxia is a commonly encountered adverse event during rapid sequence intubation (RSI)2 and is associated with cardiac arrest, neurological injury and death.3 Therefore, there is significant interest in
— Read on annals.edu.sg/pre-and-apnoeic-high-flow-oxygenation-for-rapid-sequence-intubation-in-the-emergency-department-the-pre-aerate-trial-a-multicentre-randomised-controlled-trial/

A review of the safety and efficacy of inhaled methoxyflurane as an analgesic for outpatient procedures – British Journal of Anaesthesia

A review of the safety and efficacy of inhaled methoxyflurane as an analgesic for outpatient procedures – British Journal of Anaesthesia
— Read on www.bjanaesthesia.org/article/S0007-0912(18)30039-4/fulltext

Ketamine-Induced Spontaneous Breathing Intubation With Airway Topicalization: A Case Report of Airway Obstruction in Retrieval Care | Elsevier Enhanced Reader

Ketamine-Induced Spontaneous Breathing Intubation With Airway Topicalization: A Case Report of Airway Obstruction in Retrieval Care | Elsevier Enhanced Reader
— Read on reader.elsevier.com/reader/sd/pii/S1067991X21001942

PHARM podcast Episode 240 Experiences of Health Workers in COVID-19 Pandemic with Professor Marie Bismark

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