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Tweets from SydneyHEMS
- RT @nswitim: Your 2021 trauma orientation & trauma simulation pre-read sorted. NSW health staff log into myhealthlearning.health.nsw.gov.au and search… 3 days ago
- RT @nswitim: Clinicians working outside of NSW Health can access the Initial Trauma Assessment and Resuscitation module on the ACI Moodle s… 3 days ago
- Thanks to our speakers and to all who joined us in person and online! #SydneyOHCA 1 week ago
- A good summary to close the #SydneyOHCA symposium from @HerxxAU Dr. Hergen Buscher. When it comes to ECPR; https://t.co/P8WCx42R2f 1 week ago
- Good reminder in the final case discussion - during cannulation, ongoing CPR is mechanical only, even if a shockabl… twitter.com/i/web/status/1… 1 week ago
Archives
Tag Archives: monitoring
Zoll X Series Monitor HR/PR Tone – Deep Dive
‘The patient’s sats were 100% when I pushed the induction drugs. I thought the sats were fine as the pitch of the beeping from the monitor stayed the same, but when I looked back the patient had already started to … Continue reading
Passive leg raising during CPR
Measuring end-tidal carbon dioxide (ET CO2 ) is a practical non-invasive method for detecting pulmonary blood flow, reflecting cardiac output and thereby the quality of CPR. It has also been shown to rise before clinically detectable return of spontaneous circulation … Continue reading
Fetal monitoring during EMS transport
Can cardiotocography be applied in the pre-hospital setting? French physicians assessed its feasibility in 145 patients enrolled during 119 interhospital transfers and 26 primary prehospital missions. Their physician-staffed ambulance teams included 19 emergency physicians and one anaesthetist. Interpretable tracings were … 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
ETCO2 and ROSC
One for the ‘hardly surprising’ category…. A study of end-tidal CO2 during out-of-hospital adult and child cardiac arrest resuscitation showed a sudden rise in CO2 was associated with return of spontaneous circulation (ROSC), suggesting that witnessing this would be a … Continue reading
Tracheal tube cuff pressure in flight
Tracheal tube cuff pressures increased from a mean 28.7 cm H2O pre-flight to 62.6 cm H2O in flight (mean altitude increase 2260 feet) in a Swiss helicopter-based study. At cruising altitude, 98% of patients had intracuff pressure >30 cm H2O, 72% had … Continue reading
