Category Archives: Uncategorized

Working with Standards that are Forgetful – Australian NSQHS Standards and Retrieval Medicine

Originally posted on The Collective:
In times where external standards are increasingly applied to health services, where does retrieval medicine fit in? Dr Alan Garner shares his insights after wrestling with the Australian National Safety and Quality Health Service Standards process.  In Australia, national reform processes for health services began in the years following the 2007…

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…

Cricoid pressure in new DAS (Difficult Airway Society) Guidelines: still on?

MEDEST Background story: This is the post I wrote about the DAS April 2015 draft on intubation Guidelines: DAS (Difficult Airway Society) released a draft of its intubating Guidelines for evaluation and comment before definitive update. Previuos 2007 Guidelines are available here DAS Intubation Guidelines This is the link to download the Update (April 2015)Continue reading “Cricoid pressure in new DAS (Difficult Airway Society) Guidelines: still on?”

VL tecnique in suspect intracranial bleeding

MEDEST 62 yrs old male found unconscious GCS 6 (E1,V1, P4). Sign of vomiting and inhalation. Profoundly hypoxic, hypertensive (BP 200 over 110). Pupils were miotic with anisocoria dx>sx. The team, after aspiration of gastric material from the airway, decided for airway control, before transport. The patient is overweight with a “taurine” neck so VLContinue reading “VL tecnique in suspect intracranial bleeding”

Same, same? Actually different

Originally posted on The Collective:
More of the operational data from the Head Injury Retrieval Trial has just been published. By luck more than anything else this has occurred within 24 hours of the publication of the main trial results which you can find here. Some operational data about systems used in the trial has…