Posts in Emergency Medicine
Pericardial Decompression - Resuscitative Thoracotomy

Most fatalities from blunt or penetrating cardiac injuries occur prior to hospital arrival. The main reversible pathology is acute cardiac tamponade, which may be present without external signs of injury, abnormal clinical signs, or ECG abnormalities. The cause of the tamponade is usually a laceration to a low-pressure cardiac cavity. In recent years the widespread use of ultrasound in the initial assessment of severely injured patients has facilitated the early diagnosis of cardiac tamponade and associated cardiac injuries.

Read More
Pleural Decompression & Drainage

Pleural decompression with subsequent tube thoracostomy is one of the most commonly performed life-saving procedures for traumatic chest injuries. Thoracic injuries are primarily responsible for 25% of all trauma deaths and contribute to a further 25% of deaths. However, over 85% of patients with thoracic trauma do not require thoracic surgery.

Read More
Surgical Airway

An emergency surgical airway may be a life-saving procedure in situations where other airway management techniques have failed or are contraindicated. Whilst the incidence of the can’t intubate, can’t oxygenate (CICO) scenario is low, with estimates ranging from 1/50,000 intubations in the operating theatre to 1/100 intubations in the Emergency Department, being able to gain access to the airway via the anterior neck is an essential rescue option.

Read More
The Procedures Course Launch!

The inaugural Alfred Shock, Trauma & Resuscitation (Alfred STAR) Procedures Course was successfully held on February 7-8 2017. The initial course was held at the Melbourne University Anatomy Lab, and was booked out by retrieval physicians from Adult Retrieval Victoria. The participants consisted of a mixture of  predominantly emergency physicians, and anaesthetists, all based in Melbourne Victoria.

Read More