Category: Resus & Crit Care

JC: Tranexamic acid – does the evidence stack up?

Here at St.Emlyn’s we are big fans of Tranexamic Acid in trauma. We believe that it makes a difference to overall mortality in patients likely to be bleeding and also that there is some evidence

Paediatric sepsis: The first hour. PLUS St.Emlyn’s at #Retrieval2014

I was absolutely delighted this week to attend the first day of the Retrieval 2014 conference in Glasgow. I first came across this conference in 2013 when I followed the twitter feed which had #FOAMed

JC. ROTEM for ED coagulopathy detection. St.Emlyn’s

Coagulopathy is well known to be a significant issue in the ED. There is increasing awareness that the early awareness, detection and management of coagulation problems is important for ED management, but it’s tricky. Laboratory

JC: Rapid update on the resus pearls of 2013. St.Emlyn’s

Two papers on the prepublication list at the Resuscitation Journal. The first is open access (#FOAMed), and both are worth a read. There are some great resus pearls in here. Paper 1 covers highlights in

JC: What has an awesome NNT of 5.8 for severe sepsis? St.Emlyn’s

Last week we saw the publication of the ProCESS study suggesting that protocolised treatment of sepsis makes little difference to outcome. A little earlier we heard that cooling to 33C vs 36C may not make

JC: Is Early Goal Directed Therapy dead? St.Emlyn’s

 Gosh, hardly a day goes by in the world of FOAMed without another tweet alerting me to the wonders of research. Today is no exception and despite being here at SMACCGold, needing to go for

Are you a good Trauma Team Leader? St.Emlyn’s

Of course you are, as Cliff Reid put it at SMACC2013 you are possibly even an ATLS instructor – you trauma badass! Why even ask the question? As a consultant & trainee you’ve been leading

JC: Family presence for Brain Death Evaluation. St.Emlyn’s

Here in Virchester we believe that families are important. Natalie has written before about the benefits of family presence during paediatric resuscitation and it’s pretty much standard practice in both our virtual paeds and adult

JC: There’s no jump with a precordial thump. St.Emlyn’s

Sometimes you just feel like a bit of a fool. Like today when I wrote the post below and then asked Dr May to have a look at it. Can you guess her response? You

JC: What’s the target temperature for OOHCA cooling. St.Emlyn’s

Many thanks to the twitter FOAMites for alerting us to an online first paper in the NEJM on the use of therapeutic hypothermia post cardiac arrest. If you’ve followed St.Emlyn’s for any time then you

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