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Managing raised intracranial pressure in severe traumatic brain injury – the basics

Don't Forget the Bubbles

The air ambulance service intubated him at the scene and pre-alerted the department before arrival. There is weak evidence to suggest that moderate hypothermia (32-33 o C) can be used for ICP control in specialist settings. Seven-year-old Dan was involved in a motor vehicle collision.

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An Insight into Mountain Rescue Teams (MRTs)

Mind The Bleep

You may work with the police, fire service, helicopters, coastguard, and ambulance services, so interagency relationships are important. Of the medical conditions reported, hypothermia was the largest group – the vast majority mild. Seizures, chest pain, intoxication, and deliberate self-harm were also reported.

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CASE #6 UPDATE – FIND THE BLEEDING, STOP THE BLEEDING

Rural Doctors Net

Importantly the ambulance service in many rural areas will be staffed by volunteers – trained to Cert IV level but unable to cannulate, give drugs (other than penthrox/GTN) or intubate. Of course any fluids given should be warmed to help avoid the lethal triad – acidosis, coagulopathy and hypothermia.

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