Tag Archives: Coffee and Cases

Coffee & Cases Snippets – August 2023 Newsletter

 Top 10 C+C Snippets from the last month:  1. Time for re-attachment of a limb is longer than you might expect! The severed limb can be viable for up to 12 hours.  2. Guidance for amputated parts:  – Rinse with … Continue reading

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Improving organisation-wide learning from “Coffee & Cases”: A quality improvement project

This blog post is an accompaniment to a presentation at the August ’23 Clinical Governance Day. The purpose of the talk was to update the service on the Quality Improvement Project I have been leading on. Why is C+C important?– … Continue reading

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Coffee and Cases Snippets: Don’t Leave Me In Suspense

By Raphael Dworkin, HEMS registrar. Every morning our team discusses cases over coffee. Here is a useful snippet… Fictional Vignette– 52M rally car driver accidentally clips a tyre wall causing his car to flip upside down at low speed. It … Continue reading

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Top 10 Coffee and Cases Snippets from April 2023

Thanks for a great month of case discussion!The C+C QI project team

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Coffee and Cases Snippets: Intubating the patient with a HAGMA

Every morning our team discusses cases over coffee. Here is a useful snippet… Patients with a severe high anion gap metabolic acidosis (e.g. from severe DKA, AKI, toxic ingestions, severe lactataemia from bleeding/sepsis/some other form of badness) have a markedly … Continue reading

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OXY’s LOG – ‘Between shock and a hard place…’

Cardiogenic shock – occurs in 10% of uncomplicated myocardial infarctions, suggests greater than 40% loss of functional left ventricule and has an 85% mortality.1, 2  John Hunter, a famous London surgeon during the 18th century, described his personal experience of myocardial infarction. … Continue reading

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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

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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

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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

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OXY’s LOG – ‘That tricky fella, human error…’

‘Errare humanum est’  Adapted by Alexander Pope1 in 1711 into the famous quote: ‘To err is human, to forgive divine.’ Case: A MVA victim (later retrieved by GSA-HEMS) comes into a rural trauma unit with a head injury and facial fractures. They need … Continue reading

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