Category Archives: Cases

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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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

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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

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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

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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

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OXY’s LOG – Subarachnoid haemorrhage

Case: A middle aged male with acute subarachnoid haemorrhage presents to a hospital emergency department with a depressed conscious level following a sudden onset headache. He becomes increasingly unresponsive and requires intubation. A head CT reveals acute subarachnoid haemorrhage with … Continue reading

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