Halfway back from Great Barrier Island and your patient is deteriorating spectacularly? Fortunately, you brought your iPhone…
Download the UK-HEMS ‘Medical Emergencies in Pre-Hospital Care – Crash Cards here.
These contain checklists of elements to consider for a variety of in-flight problems.
(To view these on an iPhone or smartphone you will need a pdf reader, I recommend Goodreader)
In this podcast, sourced from emcrit.org, Scott Weingart (ED Intensivist from New York City, founder of emcrit.org) and Cliff Reid (Great Sydney Area HEMS, founder of resus.me) discuss pre-hospital intubation and ‘stay and play’ versus ‘scoop and run’ in pre-hospital care.
These are two of the Godfathers of FOAM (free open access meducation).
The podcast is here (right-click if you wish to download), and makes reference to this video clip from London HEMS, which shows a paediatric RSI for TBI with pulmonary contusions and blood in the airway.
“We anaesthetise a child probably once every month. We train for it, but we don’t do very many of them.”
This is a recently published paper from the French pre-hospital system, where both helicopters and ground ambulances are designated ‘mobile ICU’, and are staffed by an emergency physician, an ambulance officer, and a nurse.
“This original comparison of helicopter utilization in the pre-hospital context shows that severe trauma patients transported by helicopter medical teams received more aggressive therapy during the pre-hospital phase than patients transported by ground medical teams. Their probability of death was decreased with HT after adjustment for initial physiological status and trauma severity compared with patients transported by GMICU.”
Read the full article here