Offensive medicine: CT before LP
I’m getting worn down by clinicians – often other specialists – who insist that CT imaging of the brain is […]
Acute Med, All Updates, Guidelines, ICU, Kids, Resus
procedures
All Updates, Resus
Oxygen prevented hypoxia. Yep.
Why wouldn’t you give oxygen prophylactically to someone undergoing procedural sedation? One argument is that this will delay the detection […]
Acute Med, All Updates, ICU, Kids, PHARM, Resus, Trauma
Easy rapid infusion set up
Image: Infusion pump 2 by Senior Airman Andrea Posey/U.S. Air Force, public domain, via Wikimedia Commons Here’s a nice and […]
All Updates, ICU, Kids, Resus
Is there nothing ketamine can't do?
As well as the benefits of cardiovascular stability, maintenance of cerebral perfusion pressure, possibly lowering ICP and providing other neuroprotective […]
All Updates, PHARM, Resus, Trauma
Lateral trauma position
Image: Stretcher in back of ambulance, EMS Museum, Heritage Village, Kingsville, Ontario, 2026-10-04 by Chris Woodrich, CC BY-SA 4.0, via […]
All Updates, PHARM, Resus, Trauma
Pre-hospital thoracotomy
Image: London Air Ambulance Helicopter (G-EHMS Rowan) by Celsoazevedo, CC BY 4.0, via Wikimedia Commons The London Helicopter Emergency Medical […]
Acute Med, All Updates, PHARM, Resus
Mouth-to-nose breathing
Interesting – mouth to nose breathing was more effective than mouth-to-mouth in simulated resuscitations using anaesthetised, apnoeic patients: BACKGROUND: The […]
All Updates, ICU, Resus, Ultrasound
Ultrasound to detect difficult laryngoscopy
A pilot study suggests sonographic measurements of neck soft tissue thickness may predict difficult laryngoscopy. Laryngoscopy was difficult in patients […]
All Updates, Resus
It's up to you….
Sometimes you have nothing to lose by doing a procedure that you may never have done before, if the patient […]
All Updates, Kids, Resus
Prehospital resuscitative hysterotomy
My colleagues and I describe a tragic case in this month’s European Journal of Emergency Medicine1. Our physican-paramedic team was […]