Dogma in Prehospital & Retrieval Medicine

Here are the references to my SMACC Chicago talk: “The Wrong Stuff” – Dogma in Prehospital & Retrieval Medicine from the #smaccFORCE workshop.
 
Acute Crush Injury

Original description
Bywaters EG, Beall D. Crush Injuries with Impairment of Renal Function. Br Med J. 1941 Mar 22;1(4185):427–32 (Full Text)

Hyperkalemia
Serum potassium on day 1 of admission earthquake victims.
Sever MS, Erek E, Vanholder R, Kantarci G, Yavuz M, Turkmen A, et al. Serum potassium in the crush syndrome victims of the Marmara disaster. Clin Nephrol. 2003 May;59(5):326–33

ECG is inaccurate at indentifying hyperkalemia
Wrenn KD, Slovis CM, Slovis BS. The ability of physicians to predict hyperkalemia from the ECG. Ann Emerg Med. 1991 Nov;20(11):1229–32.

Montague BT, Ouellette JR, Buller GK. Retrospective Review of the Frequency of ECG Changes in Hyperkalemia. Clinical Journal of the American Society of Nephrology. 2008 Feb 20;3(2):324–30 (Full Text)

Bicarbonate
Often ineffective, may lower calcium. Kamel KS. Controversial issues in the treatment of hyperkalaemia. Nephrology Dialysis Transplantation. 2003 Nov 1;18(11):2215–8 (Full Text)

Guidelines
Australian Resuscitation Council EMERGENCY MANAGEMENT OF A CRUSHED VICTIM

ACEP Crush Injury and Crush Syndrome

UK Consensus statement on crush injury and crush syndrome

Cervical Immobilisation
De-immobilsation in the field. Tello RR, Braude D, Fullerton L, Froman P. Outcome of Trauma Patients Immobilized by Emergency Department Staff, but Not by Emergency Medical Services Providers: A Quality Assurance Initiative. Prehosp Emerg Care. 2014 Oct 2;18(4):544–9

Scoop & Run vs Stay & Play
Newgard CD, Schmicker RH, Hedges JR, Trickett JP, Davis DP, Bulger EM, et al. Emergency Medical Services Intervals and Survival in Trauma: Assessment of the “Golden Hour” in a North American Prospective Cohort. Ann Emerg Med. 2010 Mar;55(3):235–246.e4

Harmsen AMK, Giannakopoulos GF, Moerbeek PR, Jansma EP, Bonjer HJ, Bloemers FW. The influence of prehospital time on trauma patients outcome: A systematic review. Injury 2015 Apr 1;46(4):602–9

Oxygen for STEMI
Stub D, Smith K, Bernard S, Nehme Z, Stephenson M, Bray JE, et al. Air Versus Oxygen in ST-Segment Elevation Myocardial Infarction. Circulation. 2015 May 22

Isolated head injury can cause hypotension in young children
Gardner AR, Diz DI, Tooze JA, Miller CD, Petty J. Injury patterns associated with hypotension in pediatric trauma patients. Journal of Trauma and Acute Care Surgery. 2015 Jun;78(6):1143–8.

Cutting Edge Resuscitation Medical Education