Preventing unrecognised oesophageal intubation: a consensus guideline from the Project for Universal Management of Airways and international airway societies* – Chrimes – Anaesthesia – Wiley Online Library

Preventing unrecognised oesophageal intubation: a consensus guideline from the Project for Universal Management of Airways and international airway societies* – Chrimes – Anaesthesia – Wiley Online Library
— Read on associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.15817

D-dimer testing for early detection of venom-induced consumption coagulopathy after snakebite in Australia (ASP-29) | The Medical Journal of Australia

D-dimer testing for early detection of venom-induced consumption coagulopathy after snakebite in Australia (ASP-29) | The Medical Journal of Australia
— Read on www.mja.com.au/journal/2022/217/4/d-dimer-testing-early-detection-venom-induced-consumption-coagulopathy-after

A Delphi study of rescue and clinical subject matter experts on the extrication of patients following a motor vehicle collision | Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine | Full Text

Approximately 1.3 million people die each year globally as a direct result of motor vehicle collisions (MVCs). Following an MVC some patients will remain trapped in their vehicle; these patients have worse outcomes and may require extrication. Following new evidence, updated multidisciplinary guidance for extrication is needed. This Delphi study has been developed, conducted and reported to CREDES standards. A literature review identified areas of expertise and appropriate individuals were recruited to a Steering Group. The Steering Group formulated initial statements for consideration. Stakeholder organisations were invited to identify subject matter experts (SMEs) from a rescue and clinical background (total 60). SMEs participated over three rounds via an online platform. Consensus for agreement / disagreement was set at 70%. At each stage SMEs could offer feedback on, or modification to the statements considered which was reviewed and incorporated into new statements or new supporting information for the following rounds. Stakeholders agreed a set of principles based on the consensus statements on which future guidance should be based. Sixty SMEs completed Round 1, 53 Round 2 (88%) and 49 Round 3 (82%). Consensus was reached on 91 statements (89 agree, 2 disagree) covering a broad range of domains related to: extrication terminology, extrication goals and approach, self-extrication, disentanglement, clinical care, immobilisation, patient-focused extrication, emergency services call and triage, and audit and research standards. Thirty-three statements did not reach consensus. This study has demonstrated consensus across a large panel of multidisciplinary SMEs on many key areas of extrication and related practice that will provide a key foundation in the development of evidence-based guidance for this subject area.
— Read on sjtrem.biomedcentral.com/articles/10.1186/s13049-022-01029-x

Advanced interventions in the pre-hospital resuscitation of patients with non-compressible haemorrhage after penetrating injuries | Critical Care | Full Text

Early haemorrhage control and minimizing the time to definitive care have long been the cornerstones of therapy for patients exsanguinating from non-compressible haemorrhage (NCH) after penetrating injuries, as only basic treatment could be provided on scene. However, more recently, advanced on-scene treatments such as the transfusion of blood products, resuscitative thoracotomy (RT) and resuscitative endovascular balloon occlusion of the aorta (REBOA) have become available in a small number of pre-hospital critical care teams. Although these advanced techniques are included in the current traumatic cardiac arrest algorithm of the European Resuscitation Council (ERC), published in 2021, clear guidance on the practical application of these techniques in the pre-hospital setting is scarce. This paper provides a scoping review on how these advanced techniques can be incorporated into practice for the resuscitation of patients exsanguinating from NCH after penetrating injuries, based on available literature and the collective experience of several helicopter emergency medical services (HEMS) across Europe who have introduced these advanced resuscitation interventions into routine practice.
— Read on ccforum.biomedcentral.com/articles/10.1186/s13054-022-04052-7