Tag: CC21

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

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

World Sepsis Conference: #wsc18 an Online, Free, #FOAMed style conference this week. 5th/6th September.

There is no doubt that I love a conference. I’ll freely admit this. I love the travel, the connections and the opportunity to learn, but I also have anxieties about the inequality of conferences, notably

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

JC: Intravenous fluid therapy in critically ill adults (review). St Emlyn’s

The use of Intravenous fluid therapy and the controversies around them have been a theme of the blog from the very beginning. From the early days when evidence increasingly pointed to the harms of starch

Top Apps at #EMSA18 St Emlyn’s

One of the other sessions I spoke in at EMSA18 was the technology session, when four of us (Jesse Spurr, Michael Edmonds, Lachlan “Lachie” Graham and I), chaired by Andrew Perry, presented our top apps.

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

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

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