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All posts by Richard Carden

Dr Richard Carden MBChB MSc BSc (Hons) PGCert FHEA MAcadMEd Rich is an Emergency Medicine and Intensive Care Medicine Trainee in London. He is currently a PhD Candidate in Trauma Sciences at the Centre for Trauma Sciences and is the Emergency Preservation and Resuscitation fellow at the Institute of Pre-Hospital Care. He is a Co-Founder of the National Trauma Research and Innovation Collaborative and Module Lead for the MSc in Emergency and Resuscitation Medicine at QMUL. You can find him on twitter as @richcarden

Bezold Jarisch

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 illness​1​, 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 relationship​1,2​. 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

Synthetic Cannabinoid

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