Author Archives: Cliff Reid

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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Needle crike: low rate and allow exhalation

Two dedicated devices for transtracheal oxygen delivery through a cricothyroidotomy needle are available, the ENK Oxygen Flow Modulator (ENK) and the Manujet. Both maintain oxygenation, but the ENK is thought to achieve better ventilation (as previously shown in a pig … Continue reading

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LMA to stoma ventilation

Level 1 evidence is great, but for useful tips that can add options to your resuscitation toolbox there are some great finds in journal letters pages. Try this one: An apneoic patient requires assisted ventilation in your resuscitation room. Bag-mask … Continue reading

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