How should we assess and reduce venous thromboembolism risk after lower-limb immobilisation? Dan Horner reviews the 2019 TiLLI project, examining thromboprophylaxis evidence, risk assessment tools and cost-effectiveness, while highlighting uncertainty about which patients benefit and how to communicate that risk.
Thromboprophylaxis in Lower Limb Immobilisation #RCEMASC2019 Read More
What makes a resuscitationist beyond technical skill? Dan Horner’s talk and accompanying reflection explore clinical judgement, team leadership, communication and the systems that support resuscitation, including the difficult decisions about when treatment may no longer help.
The UK Resuscitationist from #stemlynsLIVE with Dan Horner. St Emlyn’s Read More
Dan Horner reviews outpatient pulmonary embolism care in this article supporting his 2019 RCEM CPD talk. It examines patient selection, follow-up and British Thoracic Society guidance, alongside conflicting evidence about investigating suspected pulmonary embolism in pregnancy.
JC: Pulmonary embolism, ambulatory care and the goddess of the hunt Read More
Can capillary refill time guide resuscitation as effectively as lactate measurements in septic shock? Dan Horner appraises the 2019 ANDROMEDA-SHOCK trial, examining its mortality results, sample size and potential bias, alongside the value of repeated clinical assessment.
JC: The beauty of simplicity. ANDROMEDA-SHOCK St Emlyn’s Read More
Could serum neurofilament light chain help predict neurological outcomes after out-of-hospital cardiac arrest? Dan Horner’s 2019 appraisal examines an analysis of TTM trial samples, considering promising test performance alongside validation gaps, false predictions and the risks of relying on a biomarker in isolation.
The final day of the Intensive Care Society’s 2018 meeting brought together research updates and questions about the outcomes patients value. This report covers frailty, predictive technology, delirium and organ donation, alongside reflections on careful clinical care and the limits of simple solutions.
#ICSSOA2018 Day 3. St Emlyn’s on tour Read More
Day two of the Intensive Care Society’s 2018 meeting ranged from research and radiology to debates about liver failure and airway management. The report also explores nutrition, the timing of renal replacement therapy and how simulation and new technology might support learning.
#ICSSOA2018 DAY 2. St Emlyn’s on tour Read More
The opening day of the Intensive Care Society’s 2018 meeting covered sepsis, moral injury and the response to the Salisbury Novichok incident. This report also follows discussions of delirium, extubation and frailty, including how patients’ goals can shape decisions about critical care.
St Emlyns on tour: ICSSOA2018. Monday. Read More
