Search results

Hey now! What patient doesn't benefit from an absence of clotting factors and a PaO2 of 400, I ask you! :P

The best thing to do would be to hit the MRx repeatedly with a 20lb sledge hammer, douse it in lighter fluid, set fire to it, and bury the remains under the slab of a new high-rise. Not that I have anything against them mind you...

I think you might need to revisit the concept of EtCO2 and how it relates to PaCO2 and in turn, perfusion, ventilation, acid-base and so on. If we go back to your original patient: You have a patient who has arrested. In the process of going from flow to low-flow to no flow, acidosis will...

I'm not sure I understand the rationale for giving the sodium bicarb. If the EtCO2 is high (which is not unexpected) it is safe to assume that the PaCO2 is high, although we don't know what the gradient is without an ABG. However, the way to fix that would be to increase your minute volume...

I have access to some through my employer, some through state government, some a free online and some I subscribe to as an individual. I can't admit to being up to date with much literature on hypothermia for stroke. It's a compelling idea (as with trauma and post/peri-arrest) but good ideas...

Sydenham E, Roberts I, Alderson P. Hypothermia for traumatic head injury. Cochrane Database of Systematic Reviews 2009, Issue 2. I would be interested to see this, as to the best of my knowledge there has never been any strong evidence for benefit from mannitol in the acutely head injured...

The OP's question was therapeutic hypothermia (TH) for head injury, which I presume means traumatic, rather than in the post arrest patient. Nevertheless: TH for cardiac arrest is a definite benefit, NNT of about 6 I believe. However, there is no evidence that starting it post-ROSC in the...

Madonna?

That is annoying. What, the fact that he is dead doesn't qualify as obvious death? :rofl: EDIT: I thought I should throw in some references, just because I haven't for a while. C-Spine for penetrating trauma is not just dumb, it is probably harmful. For this case, it is probably a moot...

He's dead where he lays, it's not appropriate to attempt resus. And I'll second the "huh?" when it comes to c-spine.

Sorry Rob, that wasn't at you. I'm just a touch suspicious of the first post from this person, who is not an EMT, asking questions about a real run... Maybe I'm a touch more paranoid than usual, but it looks like a fishing expedition to me. Your questions are good ones by the way. I...