How did sepsis guidance respond to ProMISe, ProCESS and ARISE? This 2015 commentary examines changes to the Surviving Sepsis Campaign care bundles, particularly the shift away from mandatory central venous targets, and considers the resulting choices around assessing circulation and response to treatment.
Sepsis 2015: EGDT without the “G”? Read More
Which balance of plasma, platelets and red cells should be used in major traumatic haemorrhage? This 2015 appraisal of the PROPPR trial examines mortality, haemostasis and deaths from bleeding, considering study power and the practical challenges of interpreting the results for transfusion protocols.
JC: Getting the Balance Right: The PROPPR Trial Read More
Why is ‘I don’t know’ so hard to say? Drawing on Think Like a Freak, this reflection explores intellectual humility, curiosity, reframing problems and seeking useful feedback, asking how ideas from outside medicine can help emergency clinicians recognise their limits and approach difficult decisions differently.
You are not a SHOEMAKER. St.Emlyn’s Read More
Rich Carden uses Star Wars and Robert Cialdini’s principles of persuasion to explore everyday interactions in emergency medicine. The reflection connects reciprocity, consistency, social proof, liking, authority and scarcity with referrals, teamwork and diagnostic bias, encouraging awareness of psychological influences rather than manipulation of patients or colleagues.
Obi Wan’s Guide to Emergency Medicine. Rich Carden at St.Emlyn’s Read More
