Subject(s)
Accidents, Traffic , Aircraft , Echocardiography , Heart Arrest/diagnostic imaging , Myocardial Infarction/diagnostic imaging , Adult , Aged , Analgesics, Opioid/therapeutic use , Anticoagulants/therapeutic use , Aspirin/therapeutic use , Clopidogrel , Denmark , Electrocardiography , Heparin/therapeutic use , Humans , Male , Military Personnel , Morphine/therapeutic use , Myocardial Infarction/diagnosis , Myocardial Infarction/drug therapy , Nitroglycerin/therapeutic use , Platelet Aggregation Inhibitors/therapeutic use , Ticlopidine/analogs & derivatives , Ticlopidine/therapeutic use , Ultrasonography , Vasodilator Agents/therapeutic useABSTRACT
OBJECTIVE: Prehospital resuscitation is often challenging. Giving uninterrupted and effective compressions is relatively impossible during transportation. In 2012, The Royal Danish Air Force received a donation of 8 mechanical chest compression devices (LUCAS(™)2; Physio-Control/Jolife AB, Lund, Sweden) to be used onboard the Danish search and rescue (SAR) helicopters. The scope of this investigation was to establish whether or not mechanical chest compression devices should be considered a necessity onboard the Danish SAR helicopters. METHODS: Data were compiled from SAR medical journals. From the data collected, observations were made as to when LUCAS(™)2 was used and what diagnosis the SAR physician made. RESULTS: One thousand ninety missions were registered in the 24-month research period, and LUCAS(™)2 was used in 25 missions. Cardiac emergencies amounted for 25% of the missions. CONCLUSION: The Danish SAR helicopters retrieved 33 drowned/hypothermic patients during the research period, and the LUCAS(™)2 was used in 11 of the patients requiring resuscitation. The LUCAS(™)2 was frequently used during other emergencies like sudden cardiac arrest. Cardiac emergencies were the predominant type of mission. LUCAS(™)2 is now considered mandatory on Danish SAR helicopters.
Subject(s)
Aircraft/instrumentation , Cardiopulmonary Resuscitation/instrumentation , Heart Massage/instrumentation , Military Personnel , Rescue Work , Adult , Aerospace Medicine , Aged , Aged, 80 and over , Denmark , Female , Humans , Male , Middle AgedABSTRACT
We report a case of a 54-year-old male who within a month had two events of bilateral masseter spasm (BMS) at induction of anaesthesia. The first time BMS caused unanticipated difficult intubation after infusion of remifentanil and propofol, and conseqeuently the general anaesthesia was terminated. The second time an awake fiberoptic intubation was planned followed by infusion of propofol, and once again there was a BMS breakout. This side effect of propofol has been reported to the Danish Health and Medicines Authority.
