2026 PE Guidelines
Pulmonary embolism (PE) is one of those diagnoses that finds its way into a lot of differential diagnoses. In the era of reasonably easy-but-occasionally-argue-with-radiologist to get CTPAs, the diagnosis has increased. An […]
Critical Care
Explore essential critical care topics, including sepsis, respiratory failure, haemodynamic support, and trauma resuscitation. Our evidence-based posts provide practical guidance on managing critically ill patients in emergency and acute care settings.
TBS 2026: Best Intensive Care Medicine Papers
A focused review of the most important intensive care medicine papers from 2025–2026, discussed at The Big Sick conference. TBS @stemlyns
TBS 2026: Best Intensive Care Medicine Papers Read More
Ketamine vs Etomidate for Intubating Critically Ill Adults: What Does the RSI Trial Tell Us?
RSI trial ketamine vs. etomidate. No difference in outcome. Both cause cardiovascular instability.
Is post-induction hypotension harmful in traumatic brain injury?
How bad is hypotension in TBI? What’s the real world impact in a high quality PHEM service.
Rich Carden reviews a recent paper that helps us understand the impact. #FOAMed @stemlyns
Is post-induction hypotension harmful in traumatic brain injury? Read More
JC: Are we overtreating suspected sepsis with broad-spectrum antibiotics?
From St Emlyn’s journal club: are we overtreating sepsis? US study finds 87% received unnecessary or overly broad antibiotics in ED.
JC: Are we overtreating suspected sepsis with broad-spectrum antibiotics? Read More
Arterial Line Placement During Cardiac Arrest: The ED experience.
Ourt review of a small Feasibility study on arterial line placement during ED cardiac arrest shows high success and improved ROSC. Is it time to rethink resuscitation monitoring?
Arterial Line Placement During Cardiac Arrest: The ED experience. Read More
JC: Illicit Drug Induced Hyperthermia: A Time-Critical Toxicological Emergency
Recognise and treat drug-induced hyperthermia fast. Learn how early sedation and rapid cooling can save lives in this ED-focused clinical review.
JC: Illicit Drug Induced Hyperthermia: A Time-Critical Toxicological Emergency Read More
Death in 2025: New Definitions, Ethical Questions & Medical Guidelines
What does it truly mean to be dead? In 2025, updates to Death by Neurological Criteria (DNC) challenge long-standing medical definitions, raising new ethical and practical questions. This post explores the latest AOMRC guidelines, the evolving role of brainstem death, and how these changes impact emergency and intensive care medicine. Are we redefining death, or refining how we diagnose it?
Death in 2025: New Definitions, Ethical Questions & Medical Guidelines Read More