How can teams rehearse a new clinical pathway without a mannequin or simulated casualty? This February 2020 introduction to Practical Exercises Without Casualties uses a suspected coronavirus scenario to explore in-situ planning, communication and decision-making, with prompts that can be adapted to other situations.
PEWCs: Sim training for coronavirus (and more). St Emlyn’s Read More
A February 2020 preview of the proposed CODA conference programme in Melbourne. Simon Carley describes its links with SMACC, its wider clinical audience and the planned combination of medicine, ethics, education and environmental concerns, including scrutiny of the conference’s own impact.
CODA update (the program is out). St Emlyn’s Read More
The January 2020 blog roundup from Iain and Simon. The episode notes link to early coronavirus coverage, ultrasound-guided vascular access, the Critical Care Reviews trials and reflections on diagnostics, learning and the changing emergency care workforce.
Podcast – January 2020 Monthly Round Up Read More
Could selected patients with a spontaneous pneumothorax avoid a chest drain? This 2020 appraisal examines a conservative-management trial, its missing follow-up data, non-inferiority margin and applicability to everyday practice, alongside the trial authors’ challenge to the reviewer’s cautious interpretation.
JC: Conservative management of pneumothoraces. Read More
Do longer ultrasound-guided peripheral cannulas last longer in patients with difficult intravenous access? This randomised-trial appraisal explores catheter survival, insertion success and the amount of catheter within the vein, while distinguishing longer peripheral cannulas from midlines and considering the study’s protocol limitations.
JC: Long lines for USS guided peripheral IVs. St Emlyn's Read More
Our regular round up of the best of the blog from December 2019. Published a little late, largely because of Coronavirus issues and general business. vb S
Podcast – December 2019 Monthly Round Up Read More
Notes from day two of Critical Care Reviews 2020, covering ROSE, CITRIS-ALI and BIRDS, alongside editorial perspectives and the John Hinds Memorial Lecture. These conference highlights signpost research and discussion rather than providing full critical appraisals of every paper.
JC: Critical Care Reviews day 2. #CCR20. St Emlyn's Read More
Did adding vitamin C and thiamine to hydrocortisone improve outcomes in septic shock? This 2020 VITAMINS appraisal examines a randomised comparison that found no improvement in its primary vasopressor-free-time outcome, while discussing the contrast with earlier observational claims and remaining questions about timing and patient selection.
