resuscitation

Micro Machines: Sick Neonates at #RATH2018

Micro Machines – Sick Neonates at #RATH2018 If there’s one area in paediatric emergency medicine that seems to scare people more than any other, it’s neonates. It’s hard to fathom how something so small can be so terrifying! But the…
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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 is probably worth revisiting in…
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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 delivery or the merits of…
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JC: Does Epinephrine work in Cardiac Arrest. St Emlyn’s

Epinephrine use in cardiac arrest is controversial1,2. Despite patho-physiological arguments3,4 that it can improve brain perfusion and even that it may improve the rate of ROSC (Return of Spontaneous Circulation) many have expressed the concern that this does not then…
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JC: Fluid resuscitation in paediatric DKA. St Emlyn’s

Over the years I’ve had some interesting, and not entirely positive interactions when treating diabetic ketoacidosis in kids. These usually focus around some very strongly held views that unless you do exactly what the other person believes to be right…
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#badEMfest18 Day 4. Farewell and thank you from St Emlyn’s

or And, in the blink of an eye, it was the final day of #badEMfest18. This is the final post on #badEMFest18 and it’s been a long time coming. Maybe that’s because it’s been busy, but it’s also that we’ve…
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JC: Oxygen in the Acutely Unwell Patient. St Emlyn;s

When I started in medicine all resuscitation started with some form of supplemental oxygen. Whether that was by face mask, LMA or intubation, oxygen was the mainstay of initial treatment and you would even fail exams for not suggesting it…
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#badEMfest18 Day 3. St Emlyn’s

After a very relaxing Friday evening with live music, fireside chats and a wine tasting (from the wine farm of Lee Wallis, no less!), Saturday kicked off with workshops bright and early. Morning Workshops Critical Care and retrieval medicine Chatting…
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JC: Do early pupil responses predict outcome in cardiac arrest? St Emlyn’s

Imagine yourself in the resus room. You’ve just got Return of Spontaneous Circulation (ROSC) on a patient who was in cardiac arrest. They had excellent bystander CPR and an early shock from an Automatic External Defib. The patient has been…
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