A “Wiring Surge” Contributing to Respiratory Failure?
A patient with a massive subarachnoid hemorrhage sustains fulminant pulmonary edema. Is there a correlation? What are the management priorities?
Critical Care
A Splash of Color: Blue Blood
Another use of Methylene Blue. This post discusses the problem, medical indication for this medication and how / why it works.
Awake, Paralyzed and Transported- A Pharmacological Failure when Transporting an ECMO Patient
This is a nightmare for both patient and caregiver alike. Imagine being told by your sedated and paralyzed ECMO patient that he could hear everything going on around him; that he could remember his transport; and that he has been experiencing perpetual nightmares.
Toxic Shock Syndrome
The Case The helicopter emergency medical crew was dispatched to a hospital 40 minutes away from the main base to transport a previously healthy female in her late teens who presented to a referring Emergency […]
When it’s Good to “Go Blue”
A teenager is deteriorating in an intensive care unit secondary to a polysubstance overdose. While toxicology cases are often anxiety producing for clinicians, do not underestimate the effectiveness of “the basics” and take your shock algorithm to the end. One therapy that is rarely utilized by our transport team, meant the difference between a safe and a “non” transport in this instance.
When the Device Isn’t Enough
A case of a patient who presents with a “low flow” alarm to his left ventricular assist device (LVAD) and the transport team’s efforts to troubleshoot and stabilize the patient.