A collection of evidence, guidelines and resources accompanying Dan Horner's 2023 RCEM CPD talk on the physiologically difficult airway. Links cover cardiovascular collapse, hypoxaemia, ultrasound, checklists and improving emergency airway care outside the operating room.
Can remifentanil replace neuromuscular blockade for rapid sequence induction? Dan Horner appraises a randomised trial in operating-room patients at risk of aspiration, examining first-attempt intubation without major complications, the non-inferiority design and how the findings translate to emergency care.
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.
A 2022 journal club comparing anterior-posterior and anterior-lateral pad positions for elective cardioversion of atrial fibrillation. It reviews a randomised trial and asks how far its findings can be applied to emergency cardioversion or defibrillation for cardiac arrest.
Dan Horner's Difficult Airway Society 2021 talk examines emergency airway management through three priorities: cardiovascular stability, oxygenation and first-pass success. The transcript connects the evidence with preparation, multidisciplinary teamwork and local systems that support safer care across departments.
A 2020 appraisal of intravenous haloperidol for acute benign headache. The review considers pain relief, adverse effects and patient selection, asking whether a placebo-controlled trial can tell us enough when the useful clinical comparison would be with usual headache treatment.
Practical perspectives on trauma care and team leadership.
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