Category: Critical Care

All the King’s Horses… difficult conversations with children in critical care. St.Emlyn’s.

All the king’s horses and all the king’s men Couldn’t put Humpty together again1. This blog tackles a really challenging topic in our theme around communication and wellbeing2–4. How do we approach difficult conversations with

JC. Pre-hospital therapeutic hypothermia: The RINSE trial. St.Emlyn’s

This week we look at the RINSE trial1, a trial examining the prehospital use of hypothermia in post cardiac arrest patients. Therapeutic hypothermia has had a bit of a rollercoaster ride over the last few

JC: Helmets or masks for NIV. St.Emlyn’s

We use a lot of NIV in Virchester. It’s a great technique that can be started in the emergency department as a supportive therapy or as a bridge to intubation and ICU care. The machines

SMACCDUB – A Trainee’s Perspective. St.Emlyn’s

  Having recently returned to the real world after attending SMACCDUB in Dublin, we thought we should try to articulate some of the things we learnt. Rich: Having only lost my SMACC virginity last year,

Bringing the Outdoor Classroom Indoors – #MedEd at #smaccFORCE #smaccDUB

Before February this year I had no prehospital experience whatsoever – so standing up in front of a crowd at the smacc prehospital workshop #smaccFORCE, I felt like a bit of an impostor. But I

CBRN: An Introduction. St Emlyn’s

yb It is a sad reality that in this day and age the world can be uncertain, volatile and dangerous place.  CBRN (chemical, biological, radioactive, nuclear) threats are real, and as Emergency Physicians it is

St.Emlyn's grief christmas

Grief at Christmas. Liz Crowe at St.Emlyn’s

Managing bad news in emergency medicine and critical care at Christmas. St.Emlyn’s on Grief at Christmas.

London Cardiac Arrest Symposium #LTC2015 St.Emlyn’s

London Cardiac Arrest symposium review 2015 #LTC2015 adrenaline epinephrine in cardiac arrest

JC: EuroTHERM or EuroBURNED. St.Emlyn’s

October has been a stellar month for publication of critical care trials in high impact journals. SPLIT, HEAT and FELLOW have already been FOAMed all over, but that left me with a still tempting choice

Maestrini, Frank, Starling, Guyton…….and Fluids at St.Emlyn’s

Intravenous fluids are one of the most frequently implemented interventions that we, as doctors, prescribe. We give maintenance fluids (not so frequently in the ED) and we give resuscitation fluids. Recently the results of the

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