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Recent Posts
- CGD 22/5/13 – A “Precerebral Thump” to everything you thought you knew about cardiac arrest
- Sydney HEMS Supervisor of Training assaulted by registrars…..for training.
- Simulation Debrief 13/5/13 – Difficult Decisions
- Clinical Governance Day 22nd May 2013
- Simulation Debrief 2/5/13 – Snugly stowed and about to blow?
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Archives
Monthly Archives: October 2009
Paramedics apply cervical spine rule successfully
The Canadian C-Spine rule – a decision instrument designed to clinically rule out important cervical spine injuries in alert patients – was successfully and safely applied by Canadian paramedics in a study of 1949 patients. Any misinterpretation erred on the … Continue reading
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emergence with ketamine overstated
A prospective study of 746 children sedated in the emergency department with iv or im ketamine revealed 2.1% may have experienced ‘emergence delirium’ although the authors concede this was difficult to define. In contrast, 291 (38%) reported pleasant altered perceptions. … Continue reading
Etomidate versus ketamine for rapid sequence intubation
Finally a well designed blinded randomised controlled trial on this subject. 0.3 mg/kg etomidate was compared with 2mg/kg ketamine for RSI in 655 patients requiring emergency intubation in the pre-hospital, emergency department, or intensive care unit environments. No difference was … Continue reading
Ambulance transport induces stress
Plasma levels of adrenaline and noradrenaline increased signficantly in patients with acute coronary syndrome during ambulance transportation – a finding in keeping with studies on normal volunteers. I wonder how much more of an effect helicopter retrieval might have? Emergency … Continue reading
Ketamine lowered ICP in brain-injured kids
Ketamine lowered ICP in brain-injured kids Ventilated children between the ages of 1 and 16 with traumatic brain injury and elevated intracranial pressure (ICP) were given ketamine and effect on cerebral perfusion pressure (CPP) and ICP was measured. Ketamine decreased … Continue reading
