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OXY’s LOG – ‘Please put me to sleep…’
Analgesia for the head injured patient Case: A young adult attempted hanging victim with a decreased GCS was intubated and ventilated at a referring hospital. He required interhospital retrieval to a...
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OXY’s LOG – ‘It totally sux…’
Suxamethonium and neurological disorders Case: A relatively innocuous case concerning the transportation of a Parkinson’s disease1 sufferer lead onto that age-old discussion about our old friend the...
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OXY’s LOG –‘Sux it, don’t stroke it…’
Succinylcholine and the hemiplegic patient (This is a follow-up post to a previous blog regarding Suxamethonium and neurological disorders). The hemiplegic patient does indeed present a risk. There are...
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OXY’s LOG –‘Sadly just too big a hole in that pearl…’
Clam shell thoracotomy – Indications and outcomes Case: A multiple gun shot wound victim was found at the roadside barely conscious. He was intubated, ventilated and given bilateral thoracostomies by...
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OXY’s LOG –‘Blue-lights and Sirens…’
In Greek mythology, the Sirens were dangerous creatures, portrayed as femme fatales who drowned sailors with their enchanting music and voices.1 Drowning is a process resulting in primary respiratory...
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OXY’s LOG –‘Tourner sur une nouvelle feuille de route…’
The term tourniquet originated from the French ‘‘tourner’’ meaning ‘‘to turn”. The first reported use of a tourniquet for haemorrhage control after wounding was by a french army surgeon called Etienne...
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OXY’s LOG – ‘Anisocoria and Stardust…’
Take caution if you ever get tasked to a pre-hospital trauma at David Bowie’s house. His reduced level of consciousness and blown pupil might just be due to a copious amount of mind-bending drugs and...
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Spinal Dogma Part 1
Emergency care is rife with dogma, and perhaps none is more pervasive than the desire, almost to the exclusion of everything else, to prevent further injury to the spinal cord in a trauma patient who...
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CGD 9th April 2014 – Neurosimulation
Harnessing the experience of colleagues in the morbidity & mortality meeting, the manual dexterity of Karel Habig, the technological spectacularness of Skype to deliver a world expert to our...
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Ketamine for TBI: Why not?
The 1970s were a dark time for ketamine use in patients with intracranial pathology. In patients with non-traumatic lesions, ketamine was suggested to increase intracranial pressure (ICP) using various...
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