Caring for the sickest patients brings difficult decisions about support, treatment and priorities. Research and clinical discussion examine respiratory support, haemodynamics and the overlap between emergency medicine and intensive care.
Does early vasopressor therapy improve outcomes in septic shock? We review the ARISE-FLUIDS trial presented at Critical Care Reviews 2026.
To squeeze or not to squeeze. The ARISE-FLUIDS trial Read More
A critical appraisal of a RCT comparing REBOA and standard ALS for OHCA
A St.Emlyn’s review of a major new trauma study examining whether prehospital emergency anaesthesia and intubation improve survival using machine learning and causal inference methods.
Survival effect of prehospital emergency anaesthesia in major trauma Read More
In this episode, recorded at Trauma 2030 at the Royal College of Surgeons, I sit down with one of St Emlyn’s own, Rich Carden, former emergency physician, now intensive care trainee and PhD graduate in trauma sciences — to explore what shock actually means beyond the blood pressure reading.
A critical appraisal of a RCT comparing whole blood vs blood component transfusions for bleeding trauma patients
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
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
RSI trial ketamine vs. etomidate. No difference in outcome. Both cause cardiovascular instability.
