Category: Resus & Crit Care

JC: Major Transfusion Protocols – evidence or lack of? St.Emlyn’s

Major Trauma Protocols for transfusion in the emergency department are a good thing aren’t they? I certainly think so, it’s something we have instituted in both paediatric and adult practice. Surely there must be robust

JC: Is surgical fixation of rib fractures ready for a comeback? St.Emlyn’s

If you’re an emergency physician practicing in the UK you may  be a bit surprised to hear about a trial published this week looking at the use of open reduction and internal fixation of rib

PCI for OOHCA with NSTEMI post ROSC? An acronym too far?

So you’ve done it. In a dazzling display of medical prowess worthy of a medical TV drama you have restored the dead to life! With scrupulous airway management, high quality chest compressions (assisted by some waveform

Road to… Nowhere? ED Implications of the Liverpool Care Pathway Review

If you haven’t seen recent UK media coverage of the review of the Liverpool Care Pathway I have to wonder where you’ve been. Nevertheless, I really don’t want to get involved in the historical facts

JC: If the Video Laryngoscope was stroke thrombolysis……. St.Emlyn’s

It has been truly fascinating to look at the responses to the paper on use of the glidescope for trauma patients. The post looks at the paper from R Adams Cowley shock trauma centre that

JC: Did Video kill the Laryngoscope star? Here comes the evidence. St.Emlyn’s

Although Britain and Ireland appear to be really rather fabulous at Rugby….thought I’d get that in there….., I do worry that we are falling behind the curve in terms of laryngoscopy in the ED. If

On a FAST track to nowhere at St.Emlyn’s

This week a little attempt at #dogmalysis for USS education in the UK. I want this to make you think about the links between what we teach and learn vs patient outcomes. In an ideal

Children are just little adults. SMACC2013. St.Emlyn’s

Here at St.Emlyn’s we like a bit of #dogmalysis. We like to challenge established thinking and perhaps to look again at what we all know to be true. One such dogma is that ‘Children are

APLS weight estimation – don’t do it (well almost never). St.Emlyn’s

I’m an APLS instructor & course director and have contributed various bits and bobs over the years and it’s a great course. I’d go further and say that it’s a really great course to get

J

JC Cryo + TXA for trauma apparently it also MATTERS. St.Emlyn’s

Thanks to Karim for a heads up on this one. Just a quick post this time, but another paper looking at the use of tranexamic acid in trauma and in this case the potential synergistic

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