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If I had known, I would have never bothered; it took me ages to find that damn post! :D

And my take on the whole post-resus thing is over here

Hetastarch marketing approval suspended in EU as risks outweigh benefits http://www.ema.europa.eu/ema/index.jsp?curl=pages/news_and_events/news/2013/06/news_detail_001814.jsp&mid=WC0b01ac058004d5c1

Maybe they do.... but medical practice depends on many things and scientific data only makes up a small percentage of them. I'll assume you have access to JAMA, there was a meta-analysis published in January this year called Association of hydroxyethyl starch administration with mortality and...

The difference is that doing a 12 lead can identify pathology early which leads to earlier intervention and improved outcomes for the patient. Giving aspirin leads to improved patient outcomes. Nitrates, well I'm with you on that, there is precious little evidence for it's use, although when...

What causes acute pericardial tamponade in trauma? If you actually manage to relieve the tamponade, then what? Have you fixed the lacerated/ruptured myocardium or great vessels? Do you just keep going in over and over if PEA continues? It seems somewhat pointless if you are not fixing the...

Social media is the future of medical education and and networking. Of course you have to not be a complete moron when using it. If you are breaking patient confidentiality, running down your employer or in some other way being a knob then you have to expect trouble. The individuals in the...

Calcium channel blockers (we use verapamil) and adenosine are equally effective in reverting AVNRT. Calcium channel blockers have a greater side effect profile (primarily hypotension). Adenosine is generally "safer" but it does make the patient feel appalling. If the patient has had adenosine...

It's not a good result unless they go back to paying taxes. On the original subject, I take as much care as is practicable to maintain cleanliness when intubating. I then position the patient semi-recumbent and make sure I suction the ETT and the oropharynx. I have no idea how much, if any...

Standard practice in anyone who is intubated. Reduce splinting from distended abdo in the previously ventilated patient and hopefully help reduce VAP from regurgitation. EDIT: And (possibly because I am a r'tard) they are 10 times harder to get in than the tube was in the first place.

Who cares how long it takes? Use the flow rate for the device that optimises the production of particles of 5micrometer size. Low flow rates will produce droplets that are larger and they will be deposited in the upper airways. High flow rates will produce smaller particles that will be...

Much better rotation from a fatigue management point of view. I don't have a problem with 4 on, 4 off, it's just that back to back 14 hour nights are stupid and dangerous.

It's a very common schedule in Australasia. It's ideally suited to firefighters who are tucked up in bed all night making it almost 2 days on, two nights on call, 4 off. It's absolute hell for the rest of us.

And yet more reason not to waste time doing CPR in an ambulance Lipman, S. S., Wong, J. Y., Arafeh, J., Cohen, S. E., & Carvalho, B. Transport decreases the quality of cardiopulmonary resuscitation during simulated maternal cardiac arrest. Anesth Analg, 116(1), 162-167.

Tons? I've been in the game 15 years, working in reasonably progressive and optimised systems and I can recall maybe a dozen saves in that time, so I would be interested to know what constitutes 'tons' The patient condition is dead. Driving somewhere isn't likely to change that.

Can anyone help? I'm looking for articles on check lists for rsi or mother high risk procedures. In particular:J Trauma Acute Care Surg. 2012 Dec;73(6):1399-403. doi: 10.1097/TA.0b013e318270dcf5. A standardized rapid sequence intubation protocol facilitates airway management in critically...

NYC ALS equipment:

Burns - - > oedema-- > airway compromise. Morphine - - > histamine release - - > worse swelling? I I have no idea but either way it's absolute bull****, and 5mg of morphine for burns is homoeopathic... Sorry for brevity on phone late for work.

We use LTVs on our whirlybirds. :wub:

Notwithstanding the BTF guidelines, the data to support cerebral perfusion pressure in TBI is very sketchy. The BTF appears to me to deal primarily with isolated head injury. The polytrauma patient or patient with uncontrolled hemorrhage is a very different beast. Pressors seem to me to do...