Monthly Archives: April 2012

OXY’s LOG – ‘Sadly just too big a hole in that pearl…’

Clam shell thoracotomy – Indications and outcomes Case: A multiple gun shot wound victim was found at the roadside barely conscious. He was intubated, ventilated and given bilateral thoracostomies by our HEMS crew. He went into cardiac arrest and so … Continue reading

Posted in Cases, Interhospital, Neurological | Tagged | 1 Comment

OXY’s LOG – ‘Sux it, don’t stroke it…’

Succinylcholine and the hemiplegic patient (This is a follow-up post to a previous blog regarding Suxamethonium and neurological disorders). The hemiplegic patient does indeed present a risk. There are a number of case reports of stroke patients arresting on the … Continue reading

Posted in Neurological | Tagged | 3 Comments

OXY’s LOG – ‘It totally sux…’

Suxamethonium and neurological disorders Case: A relatively innocuous case concerning the transportation of a Parkinson’s disease1 sufferer lead onto that age-old discussion about our old friend the depolarising neuromuscular blocker2 and which weird and wonderful neurological or neuomuscular problems it could or … Continue reading

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OXY’s LOG – ‘Please put me to sleep…’

Analgesia for the head injured patient Case: A young adult attempted hanging victim with a decreased GCS was intubated and ventilated at a referring hospital. He required interhospital retrieval to a tertiary care facility. On arrival the team noted the patient … Continue reading

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OXY’s LOG – ‘Not your typical anti-psychotic’

Quetiapine Overdose Case: A young adult male was found comatosed after suspected overdose. His regular medications included quetiapine.  He required interhospital retrieval to a tertiary care facility. He was intubated and ventilated but required only minimal sedation. Challenge: To discover … Continue reading

Posted in Cases, Interhospital, Neurological | Tagged | 1 Comment