Category: Resus & Crit Care

stemlyns blood transfusion trauma

Everything old is new again – whole blood in the trauma bay – St Emlyn’s

One thing is clear from the military and civilian literature – hemorrhage kills1,2.  Overall, 40-50,000 deaths per year in the US are preventable with appropriate hemorrhage control and resuscitation.  The demographic of these victims is

JC: Hypothermia in brain injury: The POLAR trial. St Emlyn’s.

Paradoxically hypothermia has been a ‘hot’ topic in emergency medicine and critical care for many years. There is good laboratory, animal and pathophysiological data to suggest that it should be neuro-protective in a broad range

JC: Cricoid Pressure and RSI, do we still need it? St Emlyn’s

This blog reviews the first large randomised controlled trial of cricoid pressure in emergency patients as published in JAMA Surgery, October 2018. Cricoid pressure is controversial. Although it has been taught in anaesthesia practice, since

St Emlyn's Cliff Reid Simulated patient

JC: The Zero Point Survey. Optimising resuscitation teams in the ED. St Emlyn’s

This blog explains the rationale for the zero point survey1–3. This starts before the primary survey that we are all familiar with and is a means of optimising the performance of resuscitation teams in critical

ResusTO: A Simulation/Resuscitation Conference Like No Other

This week, one hundred clinicians went back to work inspired. They were reinvigorated, motivated and full of knowledge. They were the delegates, faculty and volunteers of ResusTO 1. This inaugural event (hopefully) laid the groundwork

EuSEM 4

St.Emlyn’s at #EuSEM18 – Day 4

The lecture theatres were somewhat quieter after a night of #FOAMaoke the previous evening, but despite our resident queen of the mic Nat May not being able to video-link in from down under, we had

St.Emlyn’s at #EuSEM18 – Day 3

Nearly at the end of what has been a fun and exciting conference with lots to learn and take home into our own practice. We’ve described much of this on our blogs reviewing Day 1

St.Emlyn’s at #EuSEM18 – Day 2

It’s day 2 at #EuSEM18. Despite our best efforts the night before, the St.Emlyn’s team were up and on time for the morning of day 2. We had a great introduction to EuSEM on Sunday

We call it massiiiiiiivve. PE at St Emlyn’s

I have been asked to talk about the diagnosis of massive PE for the upcoming EUSEM congress in Glasgow this month. We have blogged on this before1, but it’s a thorny issue and one that

JC: OOHCA and Airway management. Do we need a tube? St Emlyn’s

  If out-of-hospital cardiac arrest and outcome data is the topic, long is the list of research and passionate is the debate on every possible measurable outcome from pit crew CPR to methodology of compression

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