JC: The REST trial. St Emlyn’s
Some years ago I remember speaking to a rather well known intensivist who was advocating for the extracorporeal removal of CO2 in ICU patients. His logic was that in patients
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Critical Care
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.
JC: CTCA for cardiac chest pain in the ED. St Emlyn’s
Computed Coronary Angiography (CTCA) has been advocated as a useful adjunct in the investigation of acute coronary syndromes (ACS) in the ED. Although we’ve made huge progress in the diagnosis
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Top 10 Trauma Papers for Trauma UK conference. 2020-2021. St Emyln’s
It’s that time of year again when the Trauma Care UK conference comes around and I get to talk about 10 interesting trauma papers from the last 12 months or
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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
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JC: The TTM2 trial. Normothermia or hypothermia post cardiac arrest.
A quick update on an TTM2 trial published in the NEJM last month. As part of the chain of survival it’s important to optimise the post resuscitation phase, primarily to
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Big Shock…..Do we ❤ POCUS?
‘Red Standby 4 mins’ tannoys the nurse in charge. ‘It’s a 70yr old male BP 68/49, pulse 120, GCS 14/15, O2 sats 98% on 15L NRB, temperature 37.5°C’ you are
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Anaphylaxis – A Guideline Update
Although this post is mainly about the new Anaphylaxis Guidelines published recently, please bear with me while we get a little nerdy with some physiology first… For anyone starting out
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JC: Thromboprophylaxis on the ICU for COVID-19 patients. St Emlyn’s
The prevention of venous thromboembolism (VTE) has been a real concern in the management of hospitalised patients with COVID-19. We have previously discussed the role of prophylactic anticoagulation (thromboprophylaxis) for
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