Author Archives: jmlboss

OXY’s LOG – ‘Between shock and a hard place…’

Cardiogenic shock – occurs in 10% of uncomplicated myocardial infarctions, suggests greater than 40% loss of functional left ventricule and has an 85% mortality.1, 2  John Hunter, a famous London surgeon during the 18th century, described his personal experience of myocardial infarction. … Continue reading

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PEEP SHOW – ‘CARDIOGENIC SHOCK’

CARDIOGENIC SHOCK (summary) . Confirm the diagnosis during the initial resuscitation phase. Rule out mechanical defects (with US) and correct any reversible conditions. Optimise pre-load, contractility and afterload by: correction of hypovolaemia (especially if right ventricle affected), use of vasodilators (where … Continue reading

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PEEP SHOW – (New to NSW-HEMS)

“Due to popular demand…ok it was just one guy…but he did mention that there was not enough time in his day to read the whole of each OXY’s LOG. So I figured I would release a summary called ‘PEEP SHOW’ … Continue reading

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OXY’s LOG – ‘Anisocoria and Stardust…’

Take caution if you ever get tasked to a pre-hospital trauma at David Bowie’s house. His reduced level of consciousness and blown pupil might just be due to a copious amount of mind-bending drugs and the accident as a school-boy … Continue reading

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OXY’s LOG – ‘Tourner sur une nouvelle feuille de route…’

The term tourniquet originated from the French ‘‘tourner’’ meaning ‘‘to turn”. The first reported use of a tourniquet for haemorrhage control after wounding was by a french army surgeon called Etienne Morel in 1674. 1  . . Tourniquets: villain or … Continue reading

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OXY’s LOG – ‘Blue-lights and Sirens…’

In Greek mythology, the Sirens were dangerous creatures, portrayed as femme fatales who drowned sailors with their enchanting music and voices.1 Drowning is a process resulting in primary respiratory impairment from submersion /immersion in a liquid medium.2 . A liquid/air interface … Continue reading

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OXY’s LOG – ‘That tricky fella, human error…’

‘Errare humanum est’  Adapted by Alexander Pope1 in 1711 into the famous quote: ‘To err is human, to forgive divine.’ Case: A MVA victim (later retrieved by GSA-HEMS) comes into a rural trauma unit with a head injury and facial fractures. They need … Continue reading

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