What is the Bezold-Jarisch Reflex and why do I care?! St Emlyn’s
Bradycardia in the trauma patient can be a perilous sign. One might observe a typical course of events in which a bleeding trauma patient progresses through the compensatory mechanisms in response to shock. It is …
Clot’s the Problem? Vena Cava filters in trauma patients. St Emlyn’s
No one likes getting a pulmonary embolism. Or a deep vein thrombosis. And because about 60% of all blood clots are associated with hospitalisation for acute illness1, we take the idea of prophylaxis very seriously. …
Prolonged Field Care…in the ED. St Emlyn’s
The practice of military emergency medicine and civilian emergency medicine frequently overlap, often in a symbiotic relationship1,2. The hard-won lessons from the operational environment are often incorporated into civilian practice time and time again (triage, …
What’s the bleeding problem with trauma laparotomies?!
Mortality for hypotensive trauma patients undergoing emergency laparotomy have not changed in 20 years. This blog explores the literature and the future!
CRYOSTAT-2 with Ross Davenport
You might be aware that an exciting new trial has started called Cryostat-2. This is exciting as it has the potential to improve patient outcomes, but also because it will involve all the Major Trauma …
Acid Attacks
A short post…but a relevant one. We are interested in other perspectives here. Please post comments below. Firstly – Don’t use a blog like this to dictate clinical care. For direct patient care seek toxicology …
Sugar and Spice…Not All Things Nice
The use of synthetic cannabinoids is on the rise. They are dangerous, don’t fit a particular toxidrome, and can require emergent intervention. They are a nasty phenomenon and this article will hopefully show you why. …
JC: Push or Cut? Traumatic Cardiac Arrest
The management of traumatic cardiac arrest has been a popular topic over the past few years and featured in numerous social media and conferences. We’ve talked about here at St.Emlyn’s too1. Various algorithms exist and …
It’s a Trap!
Not only do we have to battle with diagnostic uncertainty, a high intensity and stressful environment but we also have to contend with our own minds and the tricks and biases they play on us. …
N2O Laughing Matter
Everyone likes balloons, right? Some people really like balloons, and more specifically the contents of them. Having recently moved to East London, I can’t cycle to work and back (only about 15 minutes or so) without …
