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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
Category Archives: General PH&RM
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
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
Posted in General PH&RM
Tagged airway, anaesthesia, cricothyroidotomy, equipment, procedures
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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
Fetal monitoring during EMS transport
Can cardiotocography be applied in the pre-hospital setting? French physicians assessed its feasibility in 145 patients enrolled during 119 interhospital transfers and 26 primary prehospital missions. Their physician-staffed ambulance teams included 19 emergency physicians and one anaesthetist. Interpretable tracings were … Continue reading
Pre-hospital amputation
British trauma surgeon and pre-hospital pioneer Professor Keith Porter describes how to do a pre-hospital amputation in this months EMJ. Thankfully the procedure is only rarely necessary and often only requires cutting remaining skin bridges with scissors. The indications are: … Continue reading
Posted in General PH&RM
Tagged extremity, pre-hospital, procedures, surgical, Trauma
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Pelvic splint improved shock
Splinted any pelvises lately? Karim Brohi’s excellent trauma.org article outlines the strengths and weaknesses of the different devices on the market. One such is the T-POD, which has now been described in a small series in which its application to … Continue reading
LMA not always successful; needle crike fails often
A meta-analysis of pre-hospital airway control techniques evaluated alternative techniques to tracheal intubation. The outcome was placement success; there were no data on effectiveness of ventilation or other clinical outcomes. Although limited by poor quality studies, there are some interesting … Continue reading
High flow O2 and mortality in COPD
An Australian randomised controlled trial of pre-hospital oxygen therapy in COPD patients compared titrated oxygen therapy with high flow oxygen. The primary outcome was prehospital and in-hospital mortality. Titrated oxygen treatment was delivered by nasal prongs to achieve arterial oxygen … Continue reading
Scene times for rural retrieval in Scotland
The Emergency Medical Retrieval Service (EMRS) provides an aeromedical retrieval service to remote and rural communities in Scotland. They examined 300 retrievals over a five year period and showed a correlation between amount of critical care interventions required and total … Continue reading
Paediatric arrest outcomes
A study of out-of-hospital paediatric arrests in Melbourne gives some useful outcome data: overall, paediatric victims of out-of-hospital cardiac arrest survived to leave hospital in 7.7% of cases, which is similar to adult survival in the same emergency system (8%). … Continue reading
Greater Sydney Area HEMS 