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Archives
Monthly Archives: July 2010
Tactical Combat Casualty Care
The brave men and women of the military not only risk their lives for us – they also provide a wealth of trauma experience and publish interesting stuff. This month’s Journal of Trauma contains a military trauma supplement. One of … Continue reading
Posted in General PH&RM
Tagged Guidelines, haemorrhage, military, Trauma
Less RSI desaturation with Roc
Some of my pre-hospital critical care colleagues in the UK exclusively use rocuronium in preference to suxamethonium for rapid sequence induction (RSI) of anaesthesia in critically ill patients. I couldn’t see a good reason to switch although now there’s some … Continue reading
Posted in General PH&RM
Tagged airway, RSI
Pre-hospital RSI successes
A couple of papers in Prehospital Emergency Care this month contribute to the pre-hospital airway management / rapid sequence intubation (RSI) literature. Intensive physician oversight of a pre-hospital RSI program increased the prescription of post-intubation morphine and midazolam, and decreased … Continue reading
Posted in General PH&RM
Tagged airway, pre-hospital, RSI
Pre-hospital chest escharotomy
Two cases are described in Pre-hospital Emergency Care of severely burned patients who were impossible to adequately ventilate after tracheal intubation until they underwent escharotomy by a pre-hospital physician. The review that follows reminds us of some intersting escharotomy facts: … Continue reading
Posted in General PH&RM
Tagged burns, procedures