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Recent Posts
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
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Sydney HEMS acknowledges the Australian Aboriginal and Torres Strait Islander peoples as the first inhabitants of the nation and the traditional custodians of the lands where we live, learn and work.
Category Archives: Cases
Simulation 31/03/2014 – Heloconstrictors and Helodilators
A high fidelity simulation in the AW 139 aircraft. The lead -in 15-year-old male with a stab wound Scene The initial assessment was performed at a scene outside pub. The patient A – Patent B – RR 32, sats 96% … Continue reading
Posted in Cases, General PH&RM, simulation, training
Tagged education, HEMS, pre-hospital, Trauma
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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
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
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
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
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
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
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
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
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
