Peri-intubation cardiovascular collapse occurred in over 40% of critically ill patients in the INTUBE cohort. Propofol was the only potentially modifiable factor consistently associated with collapse—but this remains observational evidence.
What should this mean for emergency and prehospital RSI?
JC: Peri-intubation cardiovascular collapse in critically ill patients. Read More
Routine sodium bicarbonate has largely disappeared from modern ALS algorithms, but it continues to be used in many cardiac arrests. We review the BIHCA trial and discuss what it means for emergency physicians and prehospital clinicians.
Does Sodium bicarbonate improve outcomes for in-hospital cardiac arrest? Read More
Learn practical stress management techniques for Trauma Team Leaders, including I’M SAFE and BTFS, to improve performance under pressure and lead complex resuscitations safely.
TTL tips 18: Lead Yourself Before You Lead the Team Read More
Does intravenous magnesium improve outcomes for patients with acute non-traumatic headache in the emergency department? We review the latest Annals RCT and discuss whether it should change practice.alo
JC: Magnesium for Acute Headache: Maybe, but perhaps not for all.. Read More
Learn how trauma team leaders can use the aviation “sterile cockpit” principle to reduce interruptions, improve communication and increase patient safety during high-risk procedures.
TTL tip 17: No chat below 10,000 Read More
ChatGPT can now pass many medical examinations with scores that exceed those of average candidates. Does that mean traditional assessments are no longer fit for purpose? We review the evidence and explore what AI means for emergency medicine education, MRCEM examinations and patient safety.
Artifical Intelligence, Assessment and the Future of Training Read More
Evidence from academic studies, professional bodies, coroners, NHS trusts and patient-safety investigators increasingly links corridor care and prolonged emergency department boarding with avoidable harm. Stevan Bruijns asks whether the evidence now warrants a formal public inquiry.
Corridor care and boarding harm: how much evidence is enough? Read More
St Emlyn’s practical guide to ketamine use as a Trauma Team Leader, including analgesia, procedural sedation, delayed sequence induction, dosing and monitoring. #FOAMed
TTL tips 16: Ketamine in trauma patients. Read More
