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AiR Videos- [131] Hot Floppy Bougies
- [130] Hyoepiglottic Ligament
- [129] Fluid Flow During Laryngoscopy; OOHCA
- [128] Laryngoscope Too Deep - Then Pops Down
- [127] Parker Tip Tube Grabs Epiglottis
- [126] Dentures
- [125] Cuff Herniation
- [124] Black ETT Lines Visible - Becomes Extubation
- [123] CMAC after iGel AScope
- [122] Ambu AScope via Flexi ETT Through iGel3
Tag Archives: pre-hospital
Extreme Medicine: Everest ER
One of our own Sydney HEMS physicians is an extreme environment and mountain medicine expert – Dr Yashvi Wilamasena. Yash, as he is known to his mates, plans to reach the summit of Everest in the near future. In preparation … Continue reading
CGD 9th April 2014 – Neurosimulation
Harnessing the experience of colleagues in the morbidity & mortality meeting, the manual dexterity of Karel Habig, the technological spectacularness of Skype to deliver a world expert to our meeting, the enthusiasm of two of our registrars, and the dynamism … Continue reading
Posted in Neurological, Presentations, training
Tagged CGD, critical care, neuroprotection, pre-hospital
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Simulation 31/03/2014 – Heloconstrictors and Helodilators
A high fidelity simulation in the AW 139 aircraft. The lead -in 15-year-old male with a stab wound Scene The initial assessment was performed at a scene outside pub. The patient A – Patent B – RR 32, sats 96% … Continue reading
Posted in Cases, General PH&RM, simulation, training
Tagged education, HEMS, pre-hospital, Trauma
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Towards A Universal Prehospital RSI SOP?
Mainland European countries have a long history of sending physicians out with emergency medical services to provide prehospital critical care. It is interesting to note an almost universal standard in the conduct of prehospital emergency anaesthesia by prehospital critical care … 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
Pre-hospital amputation
British trauma surgeon and pre-hospital pioneer Professor Keith Porter describes how to do a pre-hospital amputation in this months EMJ. Thankfully the procedure is only rarely necessary and often only requires cutting remaining skin bridges with scissors. The indications are: … Continue reading
Posted in General PH&RM
Tagged extremity, pre-hospital, procedures, surgical, Trauma
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LMA not always successful; needle crike fails often
A meta-analysis of pre-hospital airway control techniques evaluated alternative techniques to tracheal intubation. The outcome was placement success; there were no data on effectiveness of ventilation or other clinical outcomes. Although limited by poor quality studies, there are some interesting … Continue reading
High flow O2 and mortality in COPD
An Australian randomised controlled trial of pre-hospital oxygen therapy in COPD patients compared titrated oxygen therapy with high flow oxygen. The primary outcome was prehospital and in-hospital mortality. Titrated oxygen treatment was delivered by nasal prongs to achieve arterial oxygen … Continue reading
Paediatric arrest outcomes
A study of out-of-hospital paediatric arrests in Melbourne gives some useful outcome data: overall, paediatric victims of out-of-hospital cardiac arrest survived to leave hospital in 7.7% of cases, which is similar to adult survival in the same emergency system (8%). … Continue reading
Greater Sydney Area HEMS 