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Tag Archives: ATLS
Resuscitation Guideline Changes
The European Resuscitation Council’s Summary of Major Changes in the 2010 guidelines can be downloaded here
New CPR Guidelines
The International Liaison Committee on Resuscitation has published its five-yearly update of resuscitation guidelines. The American Heart Association Guidelines can be accessed here The European Resuscitation Guidelines can be accessed here 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and … Continue reading
Evidence refutes ATLS shock classification
I have always had a problem with the ATLS classification of hypovolaemic shock, and omit it from teaching as any clinical applicability and reproducibility seem to be entirely lost on me. I was therefore reassured to read that real physiological … 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
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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Thoracostomy in blunt traumatic arrest
37 patients with blunt traumatic cardiac arrest underwent attempted resuscitation by a HEMS crew over a four year period. Chest decompression was performed in 18 cases (17 thoracostomy, one needle decompression). The procedure revealed evidence of chest injury in 10 … Continue reading
Posted in General PH&RM
Tagged ACLS, arrest, ATLS, blunt, HEMS, thoracic, thoracostomy
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