TEE TRAINER

Transesophageal Echo (TEE) is a bit of a niche thing in the ultrasound world, and trying to get into TEE, I find it really hard to wrap my head around the probe’s position and the spatial relations with probe, the … Continue reading

BP MANAGEMENT IN BRAIN BLEEDS – ATACH 2

 A trial called ATACH-2 (Antihypertensive Treatment of Acute Cerebral Hemorrhage II), recently published in NEJM, is likely to temper the enthusiasm for aggressively lowering blood pressure in patients with intracranial bleeds. Background An immediate hypertensive response is common in patients with intracerebral haemorrhage. … Continue reading

UNDERESTIMATING BLEEDING

Some years ago, while working for an air ambulance, me and an experienced paramedic responded to a pedestrian-vs-car accident. A young female was out driving when she had a flat tire. As she opened the rear compartment to get the spare tire, a second … Continue reading

LONGEST VF

A fascinating case report was recently published in Resuscitation. A young female speleologist was  avalanched in the polish Tatra mountains. As she had access to an air pocket and some degree of ventilation she didn’t to succumb to the asphyxiation … Continue reading