This study observed a high overall prehospital TI success rate in children with relatively few associated complications and short time on scene, despite the challenges presented by the pediatric prehospital TI.
— Read on pubmed.ncbi.nlm.nih.gov/34254579/
Nearly 20 % of patients who needed to be evacuated by a hoist were severely injured, and complex and lifesaving medical interventions were necessary before the HHO procedure. Therefore, only adequately trained and experienced medical crew members should accompany HHO missions.
— Read on pubmed.ncbi.nlm.nih.gov/34253244/
This study describes and evaluates advanced paramedic practitioner (APP) use of focused cardiac ultrasound (FoCUS) in out-of-hospital cardiac arrest (OHCA), and relates ultrasound findings with decisions to terminate resuscitation. The authors report characteristics of patients who do/do not undergo a FoCUS examination by APPs, ultrasound probe positions used and whether FoCUS findings were associated with decisions to terminate resuscitation or to convey patients to an emergency department (ED) with ongoing resuscitation.
A retrospective, observational cohort study of all adult medical OHCA patients attended by APPs in Greater London during 2018 was carried out using data from emergency medical services (EMS) and APP databases.
Twenty-eight APPs attended 1444 OHCA patients in 2018, of whom 744 underwent FoCUS. The subcostal probe position was used most frequently (74%), followed by the parasternal long axis (19%), with significantly smaller use of the parasternal short axis and apical windows. Absence of spontaneous cardiac motion (SCM) was associated with resuscitation being terminated (333 out of 391; 85%) and the presence of SCM was associated with conveyance to the emergency department (213 out of 264 patients; 80%). All decisions to terminate resuscitation were within the APP scope of practice.
The authors believe this is the largest prehospital study involving FoCUS in OHCA. An association between FoCUS findings and decisions made to either convey patients to hospital or terminate resuscitation was found. The SC window was most used and ROLE decisions were deemed to be in accordance with local guidance and practice.
— Read on www.paramedicpractice.com/features/article/focused-ultrasound-in-out-of-hospital-cardiac-arrest-by-advanced-paramedics
Tracheal intubation in microgravity: a simulation study comparing direct laryngoscopy and videolaryngoscopy† – British Journal of Anaesthesia
— Read on bjanaesthesia.org/article/S0007-0912(19)30935-3/fulltext
How are infants and children affected?
— Read on www.nps.org.au/australian-prescriber/podcast/episode-109-updated-anaphylaxis-guidelines
Since the last Canadian Airway Focus Group (CAFG) guidelines were published in 2013, the literature on airway management has expanded substantially. The CA
— Read on link.springer.com/article/10.1007/s12630-021-02007-0
RRH: Rural and Remote Health. Published article number: 6115 – A year as a prehospital physician in the Outer Hebrides, Scotland
— Read on www.rrh.org.au/journal/article/6115
Bullying: We are after all a caring profession and need to practise what we preach when engaging with other medical practitioners, writes Vicki Kotsirilos
— Read on insightplus.mja.com.au/2021/23/cyberbullying-by-medical-practitioners-respect-your-peers/
The British Mountain Medicine Society (BMMS) has teamed up with Life in the Fast Lane and the University of Central Lancashire to develop free online mountain medicine CPD. For those that haven’t yet completed it, the initial module is just 25 MCQs with CPD approval from the Royal College of Surgeons (Edinburgh). Access to the…Mountain Medicine CPD — Adventure Medic
Ambulance Victoria Careers, Job search, Register
— Read on careers.ambulance.vic.gov.au/jobs/AV-1542977
CHALLENGES OF COVID-19 AEROMEDICAL RETRIEVAL: LESSONS LEARNT FROM CONDUCTING AEROMEDICAL TRANSFERS DURING A PANDEMIC
— Read on www.exeley.com/journal_australiasian_society_aerospace_medicine/doi/10.21307/asam-2020-003
Flying a Covid-positive patient is a huge challenge from both a teamwork and a professional perspective. Dr Peter Turi of TrustAir described how his team manages Covid patients
— Read on www.airmedandrescue.com/latest/long-read/case-study-trustair-aeromedical-transfer-covid-19-patients
our next patient: 42 year old male; alcoholic liver disease; unwell for several days; lethargic/confused; jaundiced; tense ascitic abdomen. The patient starts to vomit fresh red blood, initially a few cupfuls, then profuse and unrelenting. They’re choking and unable to protect their own airway; sats dip to 88%; RR goes up to 32. Normal suctioning and positioning are not helping. You decide to intubate but naturally, you’re nervous. How do you increase the chance of first-pass success? How do you adequately clear the ororpharynx and avoid blood contaminating your view? How do you best maintain airway suction during intubation? Join Jim DuCanto for this online, on-demand airway management course where you’ll learn simple tips to more easily manage the heavily soiled airway. To find out more, visit https://bit.ly/3xNrI7g