Category Archives: Uncategorized

Originally posted on MEDEST:
      DISCLOSURE: MEDEST strongly encourage AWARNESS reading the propoused articles. Abstracts are often misleading and articles potentially biased. Even this selection is not immune from potential bias (just human factors not commercial interests). So download the full text and read it carefully to have a clear and complete opinion…

Originally posted on The Collective:
This thing comes from Dr Andrew Weatherall, paediatric anaesthetist and prehospital doc. He also blogs over at http://www.theflyingphd.wordpress.com ? I don’t do DIY. This is partly because in the same way I wouldn’t expect a carpenter to have a crack at fixing their kids’ bones in preference to seeing an…

Originally posted on MEDEST:
Following the discussion on ectopy and aberrancy (view Ectopy or aberrancy? Google Ecg+ community comments on a clinical case.)  Ken Grauer, EKG master and author of many EKG books, gave us the permission to share his “3 SIMPLE Rules” to recognize VT in a simple ad accurate way.   Rule #1…

Originally posted on The Collective:
There’s been a lot of stimulating discussion after parts 1 and 2 of this series from Dr Alan Garner (you can check those here and here). Here’s part 3.  Thanks for sticking with the discussion so far. In part 2 we had a look at AP compression injuries and lateral compression…

Originally posted on MEDEST:
The fluids of choice in prehospital field are, in most cases, cristalloids (Norma Saline or Lactate Ringer). But what is the physiological impact of saline solutions when administered in large amounts (as the latest ATLS guidelines indicates) to hypotensive trauma patients? Is aggressive Fluid resuscitation the right strategy to be pursued?…

Originally posted on The Collective:
Dr Andrew Weatherall does prehospital doctor stuff but spends lots of time serving the somnolent god of anaesthesia  in a tertiary paediatric hospital. He has particular interests in cardiac, thoracic, trauma and liver transplant anaesthesia and is trying to be a PhD student in his spare time.  You can also find…

Originally posted on MEDEST:
If you have a patient with a King LT in place and want to intubate him use the Bougie and the videolaryngoscope. It works perfectly. Here is the video tutorial.

Originally posted on AmboFOAM:
There has been a fair bit about mechanical CPR devices floating around the FOAMasphere lately, so I thought I should probably do a post. These devices are not exactly new (check out the Thumper, in use in Victoria in the 70s) However, there seems to be a surge in interest in these…

Originally posted on Auckland HEMS:
Dear colleagues, In June of this year our Canadian HEMS Fellow Dr. Robert Gooch shared one of our emergency checklists with the Prehospital and Retrieval Medicine (PHARM) community. Thank you to those of you who provided feedback on this initiative. We continue to draw inspiration from the work of Dr.…

Originally posted on MEDEST:
A novel publication goes to enrich the long-living debate on direct laryngoscopy (DL) vs video laryngoscopy (VL) efficacy in emergency intubation. The recent article, pubblished on JEMS and titled  “Deploying the Video Laryngoscope into a Ground EMS System” ,compares the success rate beetwen DL vs VL in a ground EMS Service. The…