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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
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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Sorting ABCD issues pre-hospital
Prospectively collected data on 727 major trauma patients from a Portugese trauma centre registry enabled the comparison of mortality between three groups of patients with a priori defined life threatening ‘ABCD’ problems: those whose ABCD issues were treated in the … Continue reading
College of Paramedics stands its ground
Articles in this month’s EMJ demonstrate an interesting conflict within UK pre-hospital care. The Joint Royal Colleges Ambulance Liaison Committee Airway Working Group, heavily represented by anaesthetists, recommend the removal of tracheal intubation from UK paramedic practice. The College of … Continue reading
Intubation harder on the floor or in an ambulance
An abstract from the The National Association of EMS Physicians® 2010 Scientific Assembly published in a Supplement of Prehospital Emergency Care describes a study comparing cadaveric intubation success rates by paramedics in different positions: on the floor, on an elevated … Continue reading
Is defibrillation an electric threat for bystanders?
No rescuer or bystander has ever been seriously harmed by receiving an inadvertent shock while in direct or indirect contact with a patient during defibrillation. New evidence suggests that it might even be electrically safe for the rescuer to continue … Continue reading
Greater Sydney Area HEMS 