Hymn to Simulation Team Training/ Inno alla Simulazione

Originally posted on MEDEST:
Blessed the emergency systems who train their professionals with simulation Blessed the emergency professionals who challenge themselfs day by day in simulation Facing their fears to win their weakness Improving the quality of their work for the good of all patients They are the future of emergency medicine Shame on emergency…

PEEP zero. Is this the answer?

Originally posted on MEDEST:
? https://twitter.com/karimbrohi/status/491343843145838592 Inspiring discussion on Twitter (Minh Le Cong@rfdsdoc, Karim Brohi @karimbrohi and Peter Sherren@PBSherren) The topic: Your hypotensive blunt/penetrating trauma patient with associated severe TBI needs a vent. How do you set it and how you achive your physiological goals? Is it possible to mantain eucapnia, avoiding hypercapnic insult to…

A ballad for Minh

Originally posted on AmboFOAM:
My friend Minh from the PHARM blog has been hit hard by the news of a ketamine shortage.  I haven’t the wherewithal to set up a benefit concert for Minh, but the least I could do was record this number to help ease his pain (although in a way that ketamine never could)…

The Death of the Cervical Collar?

Originally posted on AmboFOAM:
Those fantastic Vikings over at one of my favourite FOAMed sites, ScanCrit have been rampaging through the dogma of cervical collars for some time, and now it seems the campaign is coming to a head: Bergen EMS will no longer apply c-collars to patients This is a pretty big move; c-collars have…

tPA for Stroke. Again. Sorry about that.

Originally posted on AmboFOAM:
Sorry to carry on about this, but I can’t help myself… The other night SBS television in Australia aired a special on stroke (found online here)  It brought together some stroke survivors, neurologists, emergency doctors and so on to discuss stroke and stroke treatment.  Of course the issue of tPA for…

To thump or not thump?

Originally posted on Mark Raines:
I wonder if the authors of the October 4th’s NEJM Journal Watch Alert saw the irony? Firstly a review of a paper which examined the utility of the precordial thump for out of hospital cardiac events. Nehme Z, Andrew E, Bernard SA, Smith K.  Treatment of monitored out-of-hospital ventricular fibrillation…