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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
Ketamine use by paramedics
A poster presentation at the Australasian College of Emergency Medicine’s Annual Scientific Conference in Melbourne in November 2009 reports 100 cases of pre-hospital ketamine use for analgesia by paramedics in New Zealand – reproduced below with permission of the author: … Continue reading
Cardiocerebral resuscitation
An emergency medical service introduced a cardiocerebral resuscitation protocol and compared outcomes with a standard ACLS protocol. Cardiocerebral resuscitation (CCR) was defined as: initiation of 200 immediate, uninterrupted chest compressions at a rate of 100 compressions ⁄ min analyzing the … Continue reading
Pre-hospital thoracotomy and aortic clamping in blunt trauma
This is one of those ‘wow they really do that!?‘ papers…Patients undergoing thoracotomy and aortic clamping for pre-hospital blunt traumatic arrest either in the field or in the ED were evaluated for the outcome of survival to ICU admission. None … Continue reading
Posted in General PH&RM
Tagged ACLS, arrest, ATLS, blunt, HEMS, pre-hospital, thoracic, thoracotomy, Trauma
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Self-extrication with a collar on
Using a sophisticated infrared six camera motion capture system, investigators demonstrated decreased cervical spine movement when collared volunteers self-extricated from a mock smashed up Toyota Corolla, when compared with extrication by paramedics using a backboard. The authors conclude that in … Continue reading
Standard medication kit for prehospital and retrieval physicians
A very comprehensive (hence the title of the paper) review of medications required for pre-hospital & retrieval medicine missions was undertaken, resulting in recommendations. While the casemix seen by various services may be influenced by local geography or tasking restrictions, … Continue reading
External jugular vein a tricky one
Emergency medicine residents and paramedics cannulated patients who were anaesthetised. The external jugular vein (EJV) took longer to cannulate and had a higher failure rate than an antecubital vein. More than a quarter of the paramedics and a third of … Continue reading
IO in OI
A case report describes three failed attempts to flush or secure an intraosseous needle placed using the EZ-IO drill during cardiac arrest of an adult patient subsequently noted to have osteogenesis imperfecta (OI) type III. While not listed as a … Continue reading
HEMS paramedic intubation success
All medical out of hospital cardiac arrests attended by the Warwickshire and Northamptonshire Air Ambulance (WNAA) over a 64-month period were reviewed. There were no significant differences in self-reported intubation failure rate, morbidity or clinical outcome between doctor-led and paramedic-led … Continue reading
DC shock? I want my blankie!
A blanket made of nonconducting material was used to allow CPR to continue during defibrillation of arrested swine. Coronary perfusion pressure was maintained when the blanket was used but fell when there was a hands-off interruption for defibrillation. Also, the … Continue reading
Precordial thump
The precordial thump is recommended for witnessed and monitored ventricular fibrillation/ventricular tachycardia (VF/VT) cardiac arrest when a defibrillator is not immediately available. Haman et al investigated the precordial thump in patients in whom VT or VF was initiated during an … Continue reading
Greater Sydney Area HEMS 