Tag Archives: Prehospital

Paramedic RSI in Australia

Posted on December 30, 2010 by Cliff Reid

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 →

Posted in General PH&RM | Tagged airway, outcome, paramedic, Prehospital, RSI, TBI, Trauma | Leave a comment

UK Military Clinical Guidelines

Posted on December 13, 2010 by Cliff Reid

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 →

Posted in General PH&RM | Tagged Guidelines, military, Prehospital, retrieval, Trauma | Leave a comment

Scene times for rural retrieval in Scotland

Posted on October 30, 2010 by Cliff Reid

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 →

Posted in General PH&RM | Tagged HEMS, physician, Prehospital, retrieval | Leave a comment

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 →

Posted in General PH&RM | Tagged airway, critical care, HEMS, ketamine, paramedic, Prehospital, RSI | Leave a comment

Scene times & penetrating trauma

Posted on October 27, 2010 by Cliff Reid

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 →

Posted in General PH&RM | Tagged outcome, penetrating, physician, Prehospital, systems, Trauma | Leave a comment

Pre-hospital RSI by different specialties

Posted on October 25, 2010 by Cliff Reid

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 →

Posted in General PH&RM | Tagged airway, education, Prehospital, procedures, RSI, training | Leave a comment

Is cervical spine protection always necessary following penetrating neck injury?

Posted on December 10, 2009 by Cliff Reid

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 →

Posted in General PH&RM | Tagged mechanism, penetrating, Prehospital, spine, Trauma | 2 Comments

Pre-hospital intubation 'success' at a US centre

Posted on November 8, 2009 by Cliff Reid

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 →

Posted in General PH&RM | Tagged airway, Prehospital | Leave a comment