Category Archives: Uncategorized

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 of the relatedContinue reading “MEDEST Review 30. One year in Review.”

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…

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 Is there extremeContinue reading “The “3 SIMPLE Rules”: an easy and accurate tool for recognizing VT”

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…

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? The triad ofContinue reading “Fluid resuscitation in bleeding trauma patient: are you aware of wich is the right fluid and the right strategy?”

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…

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. View original post

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.…

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 device used wasContinue reading “Why the VideoLarygoscopy don’t gonna kill the DirectLaryngoscopy (at least in the near future)”