Monthly Archives: December 2010

Paramedic RSI in Australia

A prospective, randomized, controlled trial compared paramedic rapid sequence intubation with hospital intubation in adults with severe traumatic brain injury in four cities in Victoria, Australia. The primary outcome was neurologic outcome at 6 months postinjury. Training Paramedics already experienced … Continue reading

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Ketamine update

Anaesthetist Dr Jan Persson from Stockholm has published an updated review of recent ketamine literature. The following interesting facts about our favourite drug are extracted from Dr Persson’s paper: Action on multiple receptors earns it the nickname: ‘the nightmare of … Continue reading

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Swimming the Channelopathy

Drowning is one of the leading causes of accidental death in children. Some apparent drownings may be related to sudden cardiac death, in particular to unidentified channelopathies, which are known to precipitate fatal arrhythmias during swimming-related events. The majority of … Continue reading

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Seasonal humour

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Merry Christmas!

Have a great one, and thanks to you all for your hard work this year. There will be no Clinical Governance Day on 5th January, so for some of the registrars today was the last CGD of the term. CGD … Continue reading

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HEMS transport may be predictor of survival

Helicopters are controversial in EMS circles, particularly in the United States, which seems to have a high number of Helicopter Emergency Medical Services (HEMS) crashes. Although this may in part be a reflection of a large increase in HEMS missions, … Continue reading

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Passive leg raising during CPR

Measuring end-tidal carbon dioxide (ET CO2 ) is a practical non-invasive method for detecting pulmonary blood flow, reflecting cardiac output and thereby the quality of CPR. It has also been shown to rise before clinically detectable return of spontaneous circulation … Continue reading

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Clinical Governance Day

The next GSA-HEMS Clinical Governance Day will take place at Bankstown Airport on Wednesday 22nd December 2010

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Clinical currencies

Clinical currency assessments are now underway for GSA-HEMS consultants. All SRCs will go through the process first as we refine it. The components are: written test (online via the VLE) practical assessment to be repeated every three months At the … Continue reading

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UK Military Clinical Guidelines

In the United Kingdom, The Academic Department of Military Emergency Medicine at the Royal Centre for Defence Medicine produces Clinical Guidelines for Operations on behalf of Surgeon General under the direction of Defence Professor of Emergency Medicine. These guidelines, last … Continue reading

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