Jack Lyon examines the evidence for sedation in prehospital acute behavioural disturbance, including ketamine, midazolam and droperidol. The review considers effectiveness, adverse events and the limitations of the studies, alongside the skills and resources needed to manage complications.
Pre-hospital acute behavioural disturbance — a guest post by Jack Lyon Read More
Could peer support in the ED help people engage with treatment after an opioid overdose? Greg Yates reviews a New Jersey programme, examining improved treatment engagement, the absence of a significant reduction in repeat overdose and the limits of observational evidence.
Opioid overdoses: should we bring peer support workers into ED? Read More
What do trials of smoking cessation in the ED show? Greg Yates reviews the evidence for interventions that include nicotine replacement therapy, the variation in treatment effects and the unresolved questions about resources, follow-up and the emergency department’s role.
Fit to quit? The trial evidence for smoking cessation interventions in ED Read More
A case series from southern Gaza describes pericardiocentesis, drainage and intrapericardial tranexamic acid in 25 patients with penetrating cardiac tamponade. We examine the findings and their relevance to settings where emergency thoracotomy is unavailable, recognising the limits of this small study.
Greg Yates reviews the evidence behind familiar cough remedies, from codeine and dextromethorphan to herbal preparations and honey. The article considers symptom relief, side effects and the limits of the research, with an emphasis on taking patients’ discomfort seriously.
Cough remedies: what actually works? Read More
Paracetamol poisoning is an uncommon, but not rare, event in children. The treatment of choice is NAC. Should we be giving them the SNAP protocol?
Make it SNAPpy! Paracetamol overdoses in teenagers Read More
A case-based guide to getting the most from pelvic binders in trauma care. This TTL tip covers preparing equipment, checking placement and tension, and reassessing the pelvis when the binder is removed.
TTL tips 2: Get the best from your pelvic binders! Read More
Visible wounds can distract from injuries hidden elsewhere. This TTL tip uses a penetrating trauma case to explore commonly missed areas, examination during the primary survey and reassessment even when the patient has already been checked before hospital arrival.
TTL tips 1: Check these FIVE areas (and more) in Penetrating Trauma. Read More
