Tag Archives: physician

Water Winch Sim Review & Learning Points (CGD 09/03/16)

The water winch rescue is unique among our mission taskings, in that it requires a non-standard approach to personal and cabin setup. The paramedics will go out in a wetsuit and additional gear (which takes time), and the doctor will … Continue reading

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Scene times for rural retrieval in Scotland

The Emergency Medical Retrieval Service (EMRS) provides an aeromedical retrieval service to remote and rural communities in Scotland. They examined 300 retrievals over a five year period and showed a correlation between amount of critical care interventions required and total … Continue reading

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Scene times & penetrating trauma

An observational cohort study of penetrating trauma patients treated by the Mobile Emergency Care Unit in Copenhagen, Denmark over a seven-and-a-half year period sought to determine the effect of on-scene time on 30-day mortality. In this setting, in cases of … Continue reading

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No benefit from pre-hospital trauma doctor in Holland

Being human, I suffer from confirmation bias: I’ve become aware that I’m always on the look out for studies that show benefit from physician-provided pre-hospital care and therefore it’s possible I miss the ones that show no benefit. Of course, … Continue reading

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Junior pre-hospital doctors spend a bit longer on scene

More junior pre-hospital doctors took longer on scene than their senior colleagues according to a German study, although patient clinical factors were the main determinant of scene time. The majority of cases were non-trauma presentations Duration of mission time in … Continue reading

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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

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Better TBI outcome with HEMS

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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