resuscitation

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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104 Reflections from Sydney HEMS – the eBook. St.Emlyn’s

Firstly, the title of this post is not a typo. When I collated the reflective lessons from my series of Sydney HEMS blog posts I realised there were actually 104, not 101. Apologies for the misleading advertising, but there was…
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JC: Does earlier TXA save lives? St.Emlyn’s

Administration of tranexamic acid (TXA) is integral part of the management for major trauma patients in the UK. It is deemed such an important aspect that its administration is used as a quality indicator to benchmark major trauma centres across…
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