Critically ill patients in the emergency department (ED) have shorter safe apnoea times due to physiological distress from decreased cardiac output, increased shunting and reduced pulmonary reserves.1 Hypoxia is a commonly encountered adverse event during rapid sequence intubation (RSI)2 and is associated with cardiac arrest, neurological injury and death.3 Therefore, there is significant interest in
— Read on annals.edu.sg/pre-and-apnoeic-high-flow-oxygenation-for-rapid-sequence-intubation-in-the-emergency-department-the-pre-aerate-trial-a-multicentre-randomised-controlled-trial/
A review of the safety and efficacy of inhaled methoxyflurane as an analgesic for outpatient procedures – British Journal of Anaesthesia
— Read on www.bjanaesthesia.org/article/S0007-0912(18)30039-4/fulltext
Ketamine-Induced Spontaneous Breathing Intubation With Airway Topicalization: A Case Report of Airway Obstruction in Retrieval Care | Elsevier Enhanced Reader
— Read on reader.elsevier.com/reader/sd/pii/S1067991X21001942
ALM’s capacity to increase survival rates in hostile environments is a potential game changer for trauma patients in remote and rural Australia, writes Hayley Letson
— Read on insightplus.mja.com.au/2022/7/three-drug-tourniquet-a-game-changer-for-rural-medicine/
Episode 21 – CMERT | LCol Leilani Doyle | Critical Levels
— Read on criticallevels.ca/2022/02/28/episode21/
To some, it’s just another passing plane in the sky.
But to Dr James, it’s about extending a lifeline when every second counts.
The RFDS has its arms str…
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Cannabinoid hyperemesis syndrome: A 6‐year audit of adult presentations to an urban district hospital – Rotella – – Emergency Medicine Australasia – Wiley Online Library
— Read on onlinelibrary.wiley.com/doi/full/10.1111/1742-6723.13944
Download the Full KIRP Report
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— Read on cdphe.colorado.gov/ketamine-investigatory-review-panel-report-overview
Ketamine for the acute treatment of severe suicidal ideation: double blind, randomised placebo controlled trial | The BMJ
— Read on www.bmj.com/content/376/bmj-2021-067194
Resuscitative thoracotomy (RT) is an intervention that can be performed in the prehospital setting for relieving cardiac tamponade and/or obtaining vascular control of suspected sub-diaphragmatic haemorrhage in patients in traumatic cardiac arrest. The aim of this retrospective case study is to compare the rates of return of spontaneous circulation (ROSC) in RTs performed for both penetrating and blunt trauma over 6 years in a mixed urban and rural environment. The electronic records of a single helicopter emergency medical service were reviewed between 1st June 2015 and 31st May 2021 for RTs. Anonymised data including demographics were extracted for relevant cases. Data were analysed with independent t-tests and Χ2 tests. A p value < 0.05 was considered statistically significant. Forty-four RTs were preformed within the 6 years (26 for blunt trauma). Eleven ROSCs were achieved (nine blunt, two penetrating) but no patient survived to discharge. In contrast to RTs for penetrating trauma, twelve of the RTs for blunt trauma had a cardiac output present on arrival of the prehospital team (p = 0.01). Two patients had an RT performed in a helicopter (one ROSC) and two on a helipad (both achieving ROSC), likely due to the longer transfer times seen in a more rural setting. Four of the RTs for blunt trauma (15%) were found to have a cardiac tamponade versus seven (39%) of the penetrating trauma RTs. Prehospital RT remains a procedure with low rates of survival but may facilitate a ROSC to allow patients to reach hospital and surgery, particularly when distances to hospitals are greater. A higher-than-expected rate of cardiac tamponade was seen in RTs for blunt trauma, although not caused by a right ventricular wound but instead due to underlying vessel damage.
— Read on www.readcube.com/articles/10.1186/s13049-022-00997-4
This essay describes the author’s symptom progression and eventual diagnosis of cancer during the COVID-19 pandemic.
— Read on jamanetwork.com/journals/jamaneurology/fullarticle/2787972