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Category Archives: Neurological
Ketamine for TBI: Why not?
The 1970s were a dark time for ketamine use in patients with intracranial pathology. In patients with non-traumatic lesions, ketamine was suggested to increase intracranial pressure (ICP) using various markers as end-points to suggest this (see references below). Although this … Continue reading
CGD 9th April 2014 – Neurosimulation
Harnessing the experience of colleagues in the morbidity & mortality meeting, the manual dexterity of Karel Habig, the technological spectacularness of Skype to deliver a world expert to our meeting, the enthusiasm of two of our registrars, and the dynamism … Continue reading
Posted in Neurological, Presentations, training
Tagged CGD, critical care, neuroprotection, pre-hospital
1 Comment
Spinal Dogma Part 1
Emergency care is rife with dogma, and perhaps none is more pervasive than the desire, almost to the exclusion of everything else, to prevent further injury to the spinal cord in a trauma patient who may have a spinal cord … Continue reading
Posted in Neurological
9 Comments
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 – ‘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 – ‘Sux it, don’t stroke it…’
Succinylcholine and the hemiplegic patient (This is a follow-up post to a previous blog regarding Suxamethonium and neurological disorders). The hemiplegic patient does indeed present a risk. There are a number of case reports of stroke patients arresting on the … 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
Greater Sydney Area HEMS 