Prehospital tranexamic acid use in primary and secondary air medical evacuation

Originally posted on Auckland HEMS:
In the latest edition of Air Medical Journal the British Columbia Ambulance Service’s AirEvac And Critical Care Operations has published a case series detailing the use of tranexamic aid by flight paramedics. The abstract for the paper can be found HERE. The paper details 13 patients who recieved TXA over…

The Importance of a Solid Foundation

Originally posted on AmboFOAM:
Here is another guest post by my colleague James. This is an excellent piece on the importance of approaching scenarios in a cohesive, standardised manner that still allows some flexibility. Emergency medicine is actually based on some pretty simple concepts as James discusses. As an ALS clinical instructor who also dabbles…

CASE #6 UPDATE – FIND THE BLEEDING, STOP THE BLEEDING

Originally posted on Rural Doctors Net:
OK, thanks to all who answered CASE#6 ‘Find the bleeding, stop the bleeding’ Plenty of good ideas, although some of the options are more realistic than others given the inevitable constraints of rurality. Glad that none followed the EMST mantra to the letter and killed him… The setting of…

The Power of Social Media and FOAM

Originally posted on AmboFOAM:
I was just given a fantastic reminder of just how excellent social media can be for those of us in the medical fields.  That’s right, it’s not just for drunken rambling or posting photos of your lunch/cat/alcohol/genitals… I was browsing twitter when I came across the following tweet https://twitter.com/australiandr/status/372973920833388544 Clicking through…

CASE #6 : FIND THE BLEEDING, STOP THE BLEEDING

Originally posted on Rural Doctors Net:
Critical illness is part of the remit of rural doctors, albeit encountered relatively infrequently – which of course makes it all the more challenging! Moreover rural doctors have to deal with such cases with limited staff, no backup and paucity of lab tests and definitive care. Perhaps one of…

PODCAST #19 – Dr James Doube on Austere Medicine & FOAMed

Originally posted on Rural Doctors Net:
It’s been a pleasure having former KI Doc, Dr James Doube back on Kangaroo Island for a short locum stint, but also a chance to catch up and talk about various schemes. Jamie is a rare breed – a former career as paramedic and wildlife conservationist, he’s also a…

Crisis Resource Management – from Academic Life in Emergency Medicine

Originally posted on Auckland HEMS:
From ALiEM: “CRM and SBT… just another set of acronyms in the world of medical education?  Don’t we already have enough?? Not quite!  Rather, Crisis Resource Management (CRM) is a complementary approach to Simulation Based Training (SBT). It can enhance current ongoing medical simulations or provide foundation for a vigorous curriculum when launching new…

RAPID: Ticagrelor e Copidogrel a confronto nel paziente con STEMI.

Originally posted on MEDEST:
Comparison of Prasugrel and Ticagrelor Loading Doses in ST-Segment Elevation Myocardial Infarction Patients RAPID (Rapid Activity of Platelet Inhibitor Drugs) Primary PCI Study Guido Parodi, MD, PHD, Renato Valenti, MD, Benedetta Bellandi, MD, Angela Migliorini, MD, Rossella Marcucci, MD, Vincenzo Comito, MD, Nazario Carrabba, MD, Alberto Santini, MD, Gian Franco Gensini,…