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AiR Videos- [131] Hot Floppy Bougies
- [130] Hyoepiglottic Ligament
- [129] Fluid Flow During Laryngoscopy; OOHCA
- [128] Laryngoscope Too Deep - Then Pops Down
- [127] Parker Tip Tube Grabs Epiglottis
- [126] Dentures
- [125] Cuff Herniation
- [124] Black ETT Lines Visible - Becomes Extubation
- [123] CMAC after iGel AScope
- [122] Ambu AScope via Flexi ETT Through iGel3
Author Archives: Cliff Reid
Paediatric Retrieval – what's the rush?
The Children’s Acute Transport Service (CATS) in the UK performed 2106 interfacility transports between April 2006 and March 2008. The stabilisation time averaged just over 2 hrs. Stabilisation time was prolonged by the number of major interventions required to stabilise the … Continue reading
Posted in General PH&RM
Tagged neonatal, outcome, paediatric, pre-hospital, retrieval
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Pre-hospital intubation experience and outcomes
Hospitals and medical personnel performing high volumes of procedures demonstrate better patient outcomes and fewer adverse events. The relationship between rescuer experience and patient survival for out-of-hospital endotracheal intubation is unknown. An American study analysing 3 statewide databases with 26,000 … Continue reading
The myth of ketamine and head injury
A literature review addresses the myth that ketamine is contraindicated in head injured patients. They summarise articles from the 1970’s which identified an association between ketamine and increased ICP in patients with abnormal cerebrospinal fluid pathways (such as those caused … Continue reading
Optimum depth of neonatal chest compressions
A retrospective study of infant chest CT scans using mathematical modelling and a number of assumptions suggests that neonatal CPR according to AAP/AHA guidelines of compressing to one third anteroposterior chest wall diameter should provide a superior ejection fraction to … Continue reading
Hospital bypass for cardiac arrest?
A Japanese study of over 10,000 patients demonstrated improved neurological outcome in out-of-hospital cardiac arrest patients who were taken to hospitals designated as ‘critical care medical centres’, where neurologically favorable 1-month survival was greater [6.7% versus 2.8%, P < 0.001] … Continue reading
Distance to hospital did not affect arrest survival
In a study of over 7500 patients with cardiac arrest transported by EMS in the United States, transport distance was not associated with survival on logistic analysis (OR 1.00; 95% CI 0.99–1.01). A geospatial assessment of transport distance and survival … Continue reading
Current Controversy in RSI
A review article in Anesthesia and Analgesia provides a summary of the literature surrounding RSI controversies. Should a pre-determined dose of induction drug be given or should it be titrated to effect prior to giving suxamethonium? Should fast acting opioids … Continue reading
Kids need 'proper' CPR if non-cardiac cause of arrest
The American Heart Association recommends cardiopulmonary resuscitation (CPR) by bystanders with chest compression only for adults who have cardiac arrests, but not for children. These recommendations have new support in a large observational study from Japan examining outcomes in 5170 … Continue reading
2000 vs 2005 VF guidelines: RCT
One of the key changes in international resuscitation guidelines between the 2000 and 2005 has been to minimise potentially deleterious hands-off time, so that CPR is interrupted less for pulse checks and DC shocks. These two approaches have been compared … Continue reading
Battlefield resuscitation
An excellent review of the current British military practice to prevent and treat the acute coagulopathy of trauma shock (ACoTS) describes pathophysiology and treatment options and offers an algorithm for management. Key components of the system (when indicated according to … Continue reading
Posted in General PH&RM
Tagged ATLS, haematology, haemorrhage, military, pre-hospital, Trauma
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Greater Sydney Area HEMS 