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I know of a few companies who ask you what you want to be paid, and I don't like it. You can end up with people doing the same jo on different pay rates, and it's just the company trying to maximise profit.

If anyone is going to the Trauma Care conference (thanks, Invictus) in Telford next week, and fancies meeting up some evening for a drink and a natter, let me know.

There's also a conference on in London in late May (26th & 27th), jointly between the Intensive Care Society and the Emergency Physicians in Intensive Care, each day of which is approved for CPD. Title: "Resuscitate and then..." It's more critical care focused, but has a good mix of sessions...

Ketamine is also good for short, painful procedures, such as dressing changes in burns patients. Kids tolerate the drug better than the adults in terms of the "emergence phenomena".

Adult - reassess if starts to vomit a few hours later Child - reassess if vomits more than once (always give a kid one vomit for free) Any concerns - CT scan or admit, hourly neuro obs and consider a scan in the morning It's too easy to get caught out on the "minor" head injury; most scans...

Just seen this thread. I should be able to make it too.

These may be old news to some of you, but they were news to me. I got sent the blog of today's State of the Art meeting, a three day update run each year by the Intensive Care Society. There were a few interesting bits, I thought - one was the concept of one hour of hypotensive resuscitation...

Welcome to the forum

The old MSc in Remote and Isolated Healthcare that is run by Peninsula College of Medicine and Dentistry in conjunction with the British Antarctic Survey Medical Unit has now been revamped and updated. Instead of just being open to doctors, it will now be open to all who have appropriate...

The dehydrated (from whatever reason) also vomit as their gut transit slows and eventually halts, leaving the gastric and other upper gut secretions only one way to move - up! The metoclopramide acts as a pro-kinetic, getting things moving the right way again, as well as stopping the...

Seminar in London on 22nd November 2010 - "What is new in resuscitation" Blurb: "The 2010 International Consensus on Cardiopulmonary Resuscitation (CPR) Science and new CPR guidelines will be published in October. This one day seminar will cover all the guideline changes and new CPR science...

I did their MIRA (now MIRA 1) four years ago. Good venue, very good facilities and instruction, good mix of people on the course, so a pool of knowledge and experience, excellent B&B nearby - personally, I had a great time and learnt a lot that has stood me in good stead. As well as the indoor...

It was more to be of interest as it concerned the warmed fluid/patient area than to compare like with like. I don't think London paras, correct me if I'm wrong, are infusing much fluid in trauma at all these days, nor are HEMS as the response and transit times are usually so quick (unless people...

I'm jealous of you guys - I'm still trying to persuade people on my new ship that there are some very nice alternatives to a Neil Robertson stretcher :( I liked my old Paraguard, but have never had the chance to play with one of the MIBBS or Trolls.

I've done a few, and it's the really muscled guys that make you keep thinking "surely the pleura must be next?" as it goes through. Well done, mate. You do know things come in three's?

You're welcome. Most of the stuff in this article will be familiar to people here, but it's got some stuff about the warming of fluids issue in trauma later in the interview/article. It's about current practice at Camp Bastion Sorry I can't get the PDF to get rid of the first two pages, I only...

Like Pitchblack, I'm open to learning, but was under the impression that mild-moderate hypothermia was only shown to be of some benefit in neurological injury. In trauma, the developing strategy of "damage control resuscitation" has emphasised (among other things) the control and aggressive...

There's a forthcoming one day seminar on Trauma Critical Care in London, if any are interested. The hot topics are • Trauma Systems • Spinal cord injury • Future technologies and developments in non invasive monitoring • Management of traumatic brain injury • Lessons from the military...

I'd put a bet on that they'll lose the atropine from the non-shockable side of the algorithm, as you're hinting NeuralNet. That's the way Australia/NZ have gone and also the paeds side of things. Interestingly, the ischaemic pre-conditioning seems to help other organs, particluarly the liver. I...

Nice link, thanks. I was on an APLS course at the weekend and they have gone to 4 minutes compressions with only a brief monitor check in PEA/asystole at the two minute point. Maybe that's the way the guidelines will go at the end of the year.