HEMS vs GEMS. By ground or by air: which is the best way to take care of traumatized patients

MEDEST 22 years old male hit from a car on the roadside of an urban area.The ground EMS ambulance (physician, nurse staffed), dispatched on scene, find the patient alert, oriented and spontaneously breathing. His vitals are:GCS 15 , RR 20, SaO2 95, HR 85, SBP 110No mention of head trauma.Chest no sign of trauma, bilateralContinue reading “HEMS vs GEMS. By ground or by air: which is the best way to take care of traumatized patients”

Cricoid Pressure in DAS 2015 Intubation Guidelines: an update.

MEDEST Below you can read the answer to my question (Cricoid pressure in new DAS (Difficult Airway Society) Guidelines: still on?) from Chris Frerk, Chair of DAS guidelines group: “Mario Thanks for your thoughtful comments The website posting is necessarily brief and there will be more detail in the developing paper. Your point is wellContinue reading “Cricoid Pressure in DAS 2015 Intubation Guidelines: an update.”

Risky Business – Weighing Things Up

Originally posted on The Collective:
The excellent Dr Paul Bailey returns to provide more practical insights from the bit of his work that involves coordination of international medical retrieval. This is the second in (we hope) a recurring series which started here.  Greetings everyone, it’s a pleasure to be back for the long awaited second…