Tag Archives: HEMS

Ketamine for HEMS intubation in Canada

Posted on October 28, 2010 by Cliff Reid

Ketamine was used by clinical staff from the The Shock Trauma Air Rescue Society (STARS) in Alberta to facilitate intubation in both the pre-hospital & in-hospital setting (with a neuromuscular blocker in only three quarters of cases). Changes in vital … Continue reading →

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Pre-hospital RSI

Posted on June 25, 2010 by Cliff Reid

Physicians from HEMS London document their experience of 400 pre-hospital rapid sequence induction / intubations. Their data are consistent with the experience of other similar services and with the emergency airway management literature in general: Failure to intubate is rare … Continue reading →

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Better TBI outcome with HEMS

Posted on March 14, 2010 by Cliff Reid

A retrospective study from Italy compared outcomes of head injured patients cared for by a ground ambulance service (GROUND) with those managed by a HEMS team that included an experienced pre-hospital anaesthetist. Interestingly 73% of the ground group were also … Continue reading →

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Pre-hospital thoracotomy and aortic clamping in blunt trauma

Posted on February 14, 2010 by Cliff Reid

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 →

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HEMS paramedic intubation success

Posted on February 4, 2010 by Cliff Reid

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 →

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Thoracostomy in blunt traumatic arrest

Posted on December 21, 2009 by Cliff Reid

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 →

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