Tag Archives: Prehospital

Trauma before & beyond the hospital

Sydney HEMS physician Dr Brian Burns talks about the prehospital care of trauma in this 20 minute audio podcast recorded at SMACC 2013 http://traffic.libsyn.com/smacc2013/trauma-concurrent-burns.mp3 You can download the podcast by right-clicking here Here are the accompanying slides: Further talks from … Continue reading

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Prehospital RSI

Here are the slides of the presentation delivered by Dr Peter Sherren to ACAP NSW in October 2012 Pre hospital rapid sequence intubation from nswhems

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Paramedic RSI in Australia

A prospective, randomized, controlled trial compared paramedic rapid sequence intubation with hospital intubation in adults with severe traumatic brain injury in four cities in Victoria, Australia. The primary outcome was neurologic outcome at 6 months postinjury. Training Paramedics already experienced … Continue reading

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UK Military Clinical Guidelines

In the United Kingdom, The Academic Department of Military Emergency Medicine at the Royal Centre for Defence Medicine produces Clinical Guidelines for Operations on behalf of Surgeon General under the direction of Defence Professor of Emergency Medicine. These guidelines, last … 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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Ketamine for HEMS intubation in Canada

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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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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Pre-hospital RSI by different specialties

This aim of the study was to evaluate the tracheal intubation success rate of doctors drawn from different clinical specialities performing rapid sequence intubation (RSI) in the pre-hospital environment operating on the Warwickshire and Northamptonshire Air Ambulance. Over a 5-year … Continue reading

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Is cervical spine protection always necessary following penetrating neck injury?

This short cut review in the Best Bets format attempted to answer the question: “is cervical spine protection always necessary following penetrating neck injury?” From the available evidence they draw the following conclusions: In stab wounds to the neck (with … Continue reading

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Pre-hospital intubation 'success' at a US centre

Of 203 patients attending a US Level 1 trauma centre who had pre-hospital airway management, 25 (12%) had unrecognised oesophageal intubations. Patients were treated in the field by fire rescue personnel of various municipalities and with different experience levels. Patients … Continue reading

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