What do we actually mean by ‘downtime’ after cardiac arrest? This discussion examines how a single number can obscure periods of CPR, low flow and restored circulation, and explores clearer ways to communicate the patient’s course during handover.
What’s the down time? St Emlyn’s Read More
A 2022 appraisal of a randomised trial comparing double sequential, vector-change and standard defibrillation for refractory ventricular fibrillation. It examines survival outcomes, the limitations of a trial stopped early and the practical challenges of introducing alternative defibrillation strategies.
Alternate defibrillation strategies in refractory ventricular fibrillation Read More
Simon and Iain look back over September 2022 in this monthly St Emlyn’s podcast round-up.
Podcast – September 2022 Monthly Round Up Read More
Trauma research selected for the 2022 EuSEM conference in Berlin. Simon Carley reviews papers on prehospital blood products, chest injuries, tranexamic acid, extrication and resuscitative thoracotomy, weighing their limitations and possible implications for practice.
Top trauma papers for #EuSEM22 Read More
Iain and Simon’s August 2022 podcast round-up brings together COVID, calcium and maintaining balance, with the usual St Emlyn’s conversation along the way.
Podcast – August 2022 Monthly Round Up Read More
Why do resuscitation decisions sometimes swing back and forth without producing action? Simon Carley uses a trauma scenario to explore decision paralysis, sharing strategies for agreeing key information and review times while keeping the whole team involved.
Decisions, oscillations and damping. St Emlyn’s Read More
A 2022 journal club on the FAKT trial of fentanyl during rapid sequence intubation with ketamine and rocuronium. It separates the primary blood-pressure outcome from secondary findings and considers how patient selection and drug timing affect interpretation.
JC: Fentanyl as an adjunct in RSI. Does it affect haemodynamic stability? St Emlyn’s Read More
Can head-up positioning combined with mechanical CPR and an impedance threshold device improve cardiac arrest outcomes? This 2022 appraisal examines an observational comparison, explaining why differences between cohorts and exploratory analyses limit the conclusions it can support.
