What does the INTUBE cohort tell us about cardiovascular instability around intubation? This appraisal examines the association with propofol, the limits of observational evidence and what the findings may mean for induction drug choices in emergency and prehospital care.
The RSI trial compared ketamine with etomidate for emergency intubation in critically ill adults. We examine the absence of a significant 28-day mortality difference, the cardiovascular findings around intubation and what the study does—and does not—mean for practice.
Rich Carden reviews a cohort study linking post-intubation hypotension with 30-day mortality in severe traumatic brain injury. The appraisal considers what the association means for prehospital anaesthesia and how far observational findings can guide practice.
How is anaesthesia maintained after prehospital intubation for trauma? A survey of services in Australia, New Zealand and the UK explores differences in sedation, analgesia and governance. This appraisal considers what self-reported practice can tell us, and why patient outcome data are still needed.
Does prehospital emergency anaesthesia shorten the path to intubation for trauma patients? This appraisal compares prehospital and emergency-department RSI in a retrospective study, examining treatment timelines, patient differences and why earlier intervention does not by itself establish better outcomes.
This podcast reflects on four days at the London Trauma Conference 2024, from cardiac arrest and prehospital critical care to trauma in older patients. The discussion also considers clinician wellbeing, training and the human side of caring for injured patients.
Practical perspectives on trauma care and team leadership.
Explore the series →