Tag: CC3

JC: Reversal of DOACs with Andexanet Alfa. St.Emlyn’s

123We are in a new age of anticoagulation, Warfarin is becoming a drug of the past. To the benefit of our patients we are no longer dragging them into hospital once a week to check

Upper Gastro Intestinal Bleeding at St.Emlyn’s.

Earlier this week, Simon and Iain released a podcast on the management of acute upper gastrointestinal bleeding. Welcome to the blog post version, for all your textual needs. Around 60,000 people are admitted into hospital every year

JC: Is Ketofol worth the hassle? St.Emlyn’s

We’ve been interested in Ketofol for many years in Virchester. We were early adopters as the pathopharmacological argument makes sense for patients requiring sedation for short painful procedures in the ED. A mixture of Propofol

JC: Platelets for Intracranial Haemorrhage. St.Emlyn’s

The management of stroke is one of those topics that attracts a great deal of controversy in the #FOAMed world, and with good reason. The questions around the use of thrombolysis for acute cerebral infarction,

Managing Acute Behavioural Disturbance

  A 31 year old gentleman is wheeled into your resuscitation room by two paramedics and four police officers. You were pre-alerted five minutes ago that you would be receiving an agitated man who was found in

Can we buy time in bleeding trauma. St.Emlyn’s.

Bleeding in trauma has had a lot of press recently. In Europe we have had several international consensus guidelines published on the topic. Unfortunately, these guidelines (published the same year) have contradicted each other a

JC: Salt or Sugar? Hypertonic saline for head injury at St.Emlyn’s.

‘Why did you give Mannitol?’ asked the Registrar. ‘Hypertonic saline was the standard of care for head injury at St.Elsewhere and I was told it reduced mortality’. OK, so that’s a paraphrased recollection from some

JC: Arrested Developments. St.Emlyn’s

  Good quality, practice-changing prehospital research is difficult to come by for a number of reasons, not least the fact that the standalone specialty itself is in relative infancy. Issues of consent and ethics, combined

Is Ketofol the milk of human kindness for procedural sedation. St.Emlyn’s

Another fine day in Virchester and another marvellous weekly Journal Club discussing Ketofol. I was unable to attend our traditional meeting (which ended a few minutes ago) as I was visiting my parents but I

JC: Can alcohol relieve nausea. St.Emlyn’s

Whilst I was a medical student, I ran several ‘n of 1’ clinical trials, principally investigating whether alcohol could reduce nausea. My notes from these studies were incomprehensible scrawls, and in all honesty the results

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