Monthly Archives: November 2010

Fetal monitoring during EMS transport

Can cardiotocography be applied in the pre-hospital setting? French physicians assessed its feasibility in 145 patients enrolled during 119 interhospital transfers and 26 primary prehospital missions. Their physician-staffed ambulance teams included 19 emergency physicians and one anaesthetist. Interpretable tracings were … Continue reading

Posted in Uncategorized | Tagged , , , , | Leave a comment

Pre-hospital amputation

British trauma surgeon and pre-hospital pioneer Professor Keith Porter describes how to do a pre-hospital amputation in this months EMJ. Thankfully the procedure is only rarely necessary and often only requires cutting remaining skin bridges with scissors. The indications are: … Continue reading

Posted in Uncategorized | Tagged , , , , | Leave a comment

Pelvic splint improved shock

Splinted any pelvises lately? Karim Brohi’s excellent trauma.org article outlines the strengths and weaknesses of the different devices on the market. One such is the T-POD, which has now been described in a small series in which its application to … Continue reading

Posted in Uncategorized | Tagged , , , | Leave a comment

LMA not always successful; needle crike fails often

A meta-analysis of pre-hospital airway control techniques evaluated alternative techniques to tracheal intubation. The outcome was placement success; there were no data on effectiveness of ventilation or other clinical outcomes. Although limited by poor quality studies, there are some interesting … Continue reading

Posted in Uncategorized | Tagged , , | Leave a comment

High flow O2 and mortality in COPD

An Australian randomised controlled trial of pre-hospital oxygen therapy in COPD patients compared titrated oxygen therapy with high flow oxygen. The primary outcome was prehospital and in-hospital mortality. Titrated oxygen treatment was delivered by nasal prongs to achieve arterial oxygen … Continue reading

Posted in Uncategorized | Tagged , , , | Leave a comment