What does the INTUBE cohort tell us about cardiovascular instability around intubation? This appraisal examines the association with propofol, the limits of observational evidence and what the findings may mean for induction drug choices in emergency and prehospital care.
JC: Peri-intubation cardiovascular collapse in critically ill patients. Read More
A review of a randomised trial comparing non-invasive ventilation with an oxygen mask for preoxygenation before emergency intubation. It examines the risk of hypoxaemia, the limits of the comparison and how the findings might apply to critically ill patients.
Noninvasive Ventilation for Preoxygenation during Emergency Intubation Read More
Does a low Glasgow Coma Scale score in acute poisoning always require intubation? This appraisal examines a randomised trial of a conservative airway strategy, focusing on patient selection, criteria for intervention and the importance of assessing the clinical trajectory.
Intubation for the low GCS tox patient Read More
Written during the 2023 ketamine shortage, this appraisal revisits etomidate for induction in critically ill adults. It examines a meta-analysis of randomised trials, the reported mortality signal and limitations in applying pooled results to emergency and prehospital practice.
Etomidate for RSI induction? St Emlyn’s Read More
Iain’s November 2021 podcast round-up explores storytelling in medical education, airway management in the emergency department and the use of pigtail catheters for haemothorax. The accompanying notes link to these posts and earlier wellbeing episodes.
Podcast – November 2021 Monthly Round Up Read More
Simon Carley revisits February 2019 on the St Emlyn’s podcast. The accompanying reading includes research on ventilation during intubation, pulmonary embolism in patients with syncope and trauma deaths, alongside reflections on workplace relationships and life after PTSD therapy.
Podcast – February 2019 Monthly Round Up Read More
Should ventilation continue between induction and laryngoscopy during rapid sequence intubation? This 2019 appraisal examines a randomised trial in critically ill adults, weighing oxygen desaturation and aspiration outcomes against differences in technique, preoxygenation and the applicability of ICU findings to emergency departments.
JC: Should we continue ventilations during RSI? St Emlyn’s Read More
What can emergency clinicians learn from an audit of perioperative anaphylaxis? Chris Gray reviews NAP6, focusing on recognition, cardiovascular collapse and reactions associated with antibiotics, muscle relaxants and chlorhexidine. This 2018 discussion considers how findings from anaesthetic practice relate to the emergency department.
St.Emlyn’s takes a NAP. The NAP4 anaesthesia audit. Read More
