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JC: The BASICS trial. 0.9% saline vs balanced solution. Does it matter?

I’ll admit that my long term clinical practice has been to prefer balanced solutions (in my case Hartmans) over 0.9% saline in the management of the critically ill patient. It’s a topic we’ve blogged and

JC: Non-invasive ventilation for COVID 19 patients. The Recovery RS trial. St Emlyn’s

I remember back at the beginning of the pandemic when we were seeing lots of patients arriving in the ED in extremis. The now familiar picture of the deeply hypoxic patient with terrible chest X-rays

EMTA Survey 2020: The good, the bad and the ugly

Co-authored with Dan Darbyshire (@dsdarbyshire) Training and practicing in emergency medicine has been hard the last 18 months. The 2020 EMTA survey tells us where things are not working and where things could be better

June and July 2021 Podcast round up. St Emlyn’s

Our regular round up of the best of the blog from June and July 2021. Some Aural sunshine for you in these Summer months (in the Northern Hemisphere at least). Links to the blog posts

JC: Thromboprophylaxis for the non ICU hospitalised COVID-19 patient. St Emlyn’s

Back in March we reported on a pre-print trial of thromboprophylaxis of ICU patients. The results suggested that there was no benefit for therapeutic dose anticoagulation in COVID19 as a prophylactic strategy for critically ill patients with COVID19. This

targeted temperature management

JC: The TTM2 trial. Normothermia or hypothermia post cardiac arrest.

A quick update on an TTM2 trial published in the NEJM last month. As part of the chain of survival it’s important to optimise the post resuscitation phase, primarily to preserve neurological function as this

Equitable publishing part 2: Access rules

With contributions from Thomas Shanahan (@clifford0584) and Teresa Chan (@TChanMD). Read equitable publishing part 1: Appraising an audience and part 3: Author, sponsor, mentor, replay. Over a cup of coffee Your study team has finally

Equitable publishing part 1: Appraising an audience

Coauthored with Thomas Shanahan (@clifford0584), with contributions from Teresa Chan (@TChanMD). Read equitable publishing part 2: Access rules and part 3: Author, sponsor, mentor, replay. Where should we publish? You have finally completed your data

Big Shock…..Do we ❤ POCUS?

‘Red Standby 4 mins’ tannoys the nurse in charge. ‘It’s a 70yr old male BP 68/49, pulse 120, GCS 14/15, O2 sats 98% on 15L NRB, temperature 37.5°C’ you are reliably informed by a colleague.

Equitable publishing part 3: Author, mentor, sponsor, replay

Coauthored with Teresa Chan (@TChanMD) and Thomas Shanahan (@clifford0584). Read equitable publishing part 1: Appraising an audience and part 2: Access rules. Settling over a cup of coffee After some debate (and several cups of

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