Tag Archives: prehospital

JC: Self extrication vs. assisted extrication. St.Emlyn’s

St.Emlyn’s – Meducation in Virchester #FOAMed The last 2 years have seen the agreed wisdom of spinal immobilisation challenged. We have seen a paradigm shift in our attitude towards the use of cervical collar with some prehospital services now removing the automatic use of this device, and international organisations questioning their routine use. In brief…Continue reading “JC: Self extrication vs. assisted extrication. St.Emlyn’s”

French SMUR : Medical pre-hospital management reduces mortality in severe blunt trauma: a prospective epidemiological study

Important open access paper from a few years ago from France on role of prehospital critical care in severe trauma. Medical pre-hospital management reduces mortality in severe blunt trauma: a prospective epidemiological study This paper in my opinion, is not about physician vs paramedic model of prehospital care. It is more about what meaningful interventionsContinue reading “French SMUR : Medical pre-hospital management reduces mortality in severe blunt trauma: a prospective epidemiological study”

Prolonged prehospital tourniquet placement associated with severe complications: a case report

Here is the full report Prolonged prehospital tourniquet placement associated with severe complications: a case report Editor’s note: Yes… norepinephrine and crystalloid resuscitation for haemorrhagic shock..not ideal but remote medicine is like this at times! Its easy to blame prolonged tourniquet application for loss of leg but a severed femoral artery is also likely culpritContinue reading “Prolonged prehospital tourniquet placement associated with severe complications: a case report”