TBI: The Final Frontier…
Summer hols and quiet times for many of us at present, so apologies for lack of posts. There is always stuff going on in the background however, and several of …
Critical Care
JC: Vitamin C and sepsis (again). St Emlyn’s
The story of vitamin C in sepsis is fascinating. There was a great deal of controversy around what became known as the Marik protocol (after Prof. Paul Marik). The protocol …
February podcast and round up: St Emlyn’s
We made it! A double century of podcasts. In this month’s update Iain and Simon talk through myth busting in resuscitation, Rick Body’s airway expertise (with a side mention for high sensitivity troponin), …
JC: The RePHILL trial. St Emlyn’s
This week we see the publication of the RePHILL trial. This is something we have been looking forward to for some time. A randomised controlled trial of the use of …
What is the Bezold-Jarisch Reflex and why do I care?! St Emlyn’s
Bradycardia in the trauma patient can be a perilous sign. One might observe a typical course of events in which a bleeding trauma patient progresses through the compensatory mechanisms in …
What is the Bezold-Jarisch Reflex and why do I care?! St Emlyn’s Read More »
JC: More on pulse oximetry and racial bias. St Emlyn’s
This week we are reviewing a paper on the accuracy of pulse oximetry in patients being assessed for ECMO. This is an interesting group as they represent and extremely unwell …
JC: More on pulse oximetry and racial bias. St Emlyn’s Read More »
JC: The BASICS trial. 0.9% saline vs balanced solution. Does it matter?
I’ll admit that my long term clinical practice has been to prefer balanced solutions (in my case Hartmans) over 0.9% saline in the management of the critically ill patient. It’s …
JC: The BASICS trial. 0.9% saline vs balanced solution. Does it matter? Read More »
JC: Convalescent plasma (still) does not work in COVID-19. St Emlyn’s
The latest results on the use of convalescent plasma in Covid-19 are now out from the RECOVERY trial as a pre-print. As you know we have already covered the trial …
JC: Convalescent plasma (still) does not work in COVID-19. St Emlyn’s Read More »
Tocilizumabulous? A special offer on IL-6 with Tocilizumab.
It’s very rare we produce three instalments on one particular drug for one particular condition, and certainly not within such a short time frame. However, tocilizumab has been worth it. …
Tocilizumabulous? A special offer on IL-6 with Tocilizumab. Read More »
Tocilizumorelikeit? The latest data on Tocilizumab. St Emlyn’s
Hot on the heels of a terrific pun and blog post about the use of Tocilizumab, capturing all the intrigue, hope and caution with the potential use of this novel therapeutic …
Tocilizumorelikeit? The latest data on Tocilizumab. St Emlyn’s Read More »