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Showing Tag: "pre" (Show all posts)

ICMS AGM 2016 - Intro and Day 1

Posted by Matthew Mac Partlin on Friday, February 24, 2017, In : Conferences, courses & events

This conference was great. It was what a motorsport conference covering safety, medical and rescue issues should be. No topic was off limits, no presenter was protected from being challenged (and most audience challenges stuck to the rules of engagement), invited speakers were from a broad range of backgrounds (gender, profession, motorsport category and geography) and most appealing of all, there was a general air of desire to promote and progress improved understanding and practice.

(I don't...

The crushing weight of evidence

Posted by Matthew Mac Partlin on Wednesday, September 21, 2016, In : Clinical topics

It's interesting how things sometimes seem to come together at the same time for different reasons. I've been thinking about extrication recently in the setting of a competitor trapped by compression. That got me thinking about a talk given by Sydney HEMS doctor, Cliff Reid, titled "The wrong stuff" during which he went through some pre-hospital dogma bug-bears (bug-dogs?), including the management of crush injury/syndrome. At the same time of my pondering a tweet went out for a doctor in Ita...

Pre-hospital RSI - Addressing some of the challenges

Posted by Matthew Mac Partlin on Sunday, January 19, 2014, In : Clinical topics

Posted by Matthew Mac Partlin on Wednesday, January 23, 2013

Airway management can be a cause of great stress in the well apportioned and resourced resus bay of an ED or an ICU or in an operating theatre. The stress factor is magnified in the pre-hospital environment where the conditions and elements may operate against you. This can be even worse if you are working with people and equipment that you are unfamiliar with, as is not uncommon at motorsport events.

So it's always worth seeing how t...
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Clinical logistics: A key pillar for efficient provision of acute care

Posted by Matthew Mac Partlin on Saturday, January 18, 2014, In : Clinical topics

Posted by Matthew Mac Partlin on Monday, September 10, 2012

One of the many nice things about working as a medic at motorsports events, apart from the cars, the racing and the atmosphere, is the chance to work alongside a focused group who share the same goals and work co-operatively to a purpose. Everyone brings something to the playing field and a lot of traditional barriers come down. This probably explains in part why managing a trauma victim in a hazardous, resource-limited, potentially h...
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Ketamine in trauma and pre-hospital medicine

Posted by Matthew Mac Partlin on Saturday, January 18, 2014, In : Clinical topics

Posted by Matthew Mac Partlin on Sunday, July 22, 2012

Ketamine seems to be one of those divisive drugs that some practicioners really love using (professionally of course), some seem to despise and some are put off by the scare stories that permeate the textbooks. The preservation of airway reflexes and comparative haemodynamic stability draws favour, while the age-associated emergence phenomenon, increase in ICP and incidence of laryngospasm draws fire.

From a practical point of view, it is a...
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Pre-hospital practice and motor sports medicine on PHARM

Posted by Matthew Mac Partlin on Saturday, January 18, 2014, In : Musings and opinion

Posted by Matthew Mac Partlin on Thursday, June 21, 2012

There's a lot to be learned from the guys who practice pre-hospital acute medicine that can be adapted to motor sports medicine. Minh Le Cong is a retrievalist working with Queensland RFDS who has created a great blog (PHARM) that covers tricky topics and offers pearls in pre-hospital medicine.

He interviews individuals who have particular expertise or experience that may be of benefit to practicioners and this week (Lord knows why) he in...
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Intubation in the field - Clear enough space!

Posted by Matthew Mac Partlin on Thursday, January 16, 2014, In : Clinical topics

Posted by Matthew Mac Partlin on Tuesday, December 13, 2011

Check out this article for some insights on factors that make pre-hospital intubation a challenge.

Difficult prehospital endotracheal intubation – predisposing factors in a physician based EMS. Resuscitation 2011 Dec;82(12):1519-24.

A European study that attempted to identify factors that influenced the difficulty of pre-hospital, physician conducted intubation. Along with the usual patient features that have previous been identified,...
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