Prehospital burn management in a combat zone.
A military study revealed troops suffering from severe burns tended to receive either no prehospital fluid or too much fluid1. […]
All Updates, Guidelines, PHARM, Resus, Trauma
All Updates
Acute Med, All Updates, ICU, PHARM, Resus
End-Tidal CO2 as a Predictor of Cardiac Arrest Survival
In one of largest studies to date of prehospital capnography in cardiac arrest, an initial EtCO2 >10 mmHg (1.3 kPa) […]
Acute Med, All Updates, PHARM, Resus
Nebulised naloxone
This appears to be a useful option when iv access is difficult and the patient is relatively stable. The protocol […]
All Updates, Kids, PHARM, Resus, Trauma
Out-of hospital traumatic paediatric cardiac arrest
This small study on traumatic arrests in children1 refutes the “100% mortality from traumatic arrest” dogma that people still spout […]
Acute Med, All Updates, ICU, Resus
Nitrate bolus in acute heart failure
Despite intravenous nitrate boluses being used in original studies demonstrating benefit in acute heart failure1,2, I regularly meet reluctance from […]
All Updates, ICU, Kids
Passive leg raise predicted fluid responsiveness in kids
Passive leg raising (PLR) is a great ‘free reversible fluid challenge’ to see if a shocked or hypotensive patient is […]
All Updates, ICU, Resus
Non-invasive BP in shock
In the management of the shocked patient, we sometimes get a little fixated on the need for an arterial line. […]
Acute Med, All Updates, ICU, PHARM, Resus
In CPR depth is good, but how deep to compress?
Some defibrillators have accelerometers capable of measuring chest compression depth during CPR. This allowed a study correlating compression depth with […]
All Updates, PHARM, Trauma
Helicopters and improved trauma survival
A large retrospective study has shown increased trauma survival associated with helicopter transport. The reason is unclear and may be […]
All Updates, ICU, Resus
Intubation of the critically ill in Scotland
Hi folks! Cliff has given me the helm of his blogsite for this week whilst he is teaching prehospital and […]