Prehospital and Retrieval Medicine – THE PHARM dedicated to the memory of Dr John Hinds

This week MEDEST review is a summary of the best posts in the FOAMED (free on line medical education) net.

Is a way to thank all the Blogs, and their authors, that inspired MEDEST from his beginning and continue, day by day, to inspire his activity.

Thanks to everyone and enjoy!

Questa settimana la review fa una carrellata del meglio che la rete ci offre in tema di medicina d’urgenza. Per una volta non citeremo riviste scientifiche ma Blog ed autori che si occupano in rete di medicina d’urgenza intra ed extraospedaliera. E’ anche un modo per ringraziare tutti coloro che hanno ispirato la nascita di MEDEST e continuano ad ispirare giorno per giorno i post che vengono pubblicati.

CPR: Hands-on or Hands-off Defibrillation?

Michelle Lin, MD ed altri autori contribuiscono ad una Blog che è diventato una pietra miliare per tutti coloro che si occupano di Medicina d’urgenza. Questo…

Some weeks ago we pubblished this post:

I’m deeply convinced that Ketamine use in TBI is safe, and that the evidences against his use in patients with TBI are based on old and small case studies affected by major limitations.

The recent evidences that shown as Ketamine doesn’t race ICP, despite increasing MAP (thank god!), are based on small but well done trials and are as good (or even more) than the previous ones.

I’m also convinced that the utlity of Ketamine in sedation of severe injuried patients so much outweight the so lightly evidenced controindication in TBI, that his use is still mandatory in trauma patients who need emergency sedation.

 We launched the following pool

and here are the results

 

References:

• Yevgeny Filanovsky, MD; Philip Miller, MD; Jesse Kao, MD, Myth: Ketamine should not be used as an induction agent for intubation in patients with head injury