A 2022 journal club examining the LOVIT trial of intravenous vitamin C in ICU patients with sepsis receiving vasopressors. It reviews death and persistent organ dysfunction outcomes, and reflects on how early enthusiasm for a treatment should be tested by stronger evidence.
A 2022 appraisal of sex differences in tranexamic acid use after trauma. The review separates analyses of treatment effectiveness from registry data on prescribing, considering differences between patient groups and what the findings can explain about unequal treatment and where uncertainty remains.
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.
Conference ReportsCritical Care
Chris Gray reports from day two of the 2022 RCEM Spring CPD Conference. The highlights span emergency department delays, paediatrics, refugee health, modern slavery and exploitation, with sessions on documentation, medical examiners and giving evidence in court.
The 200th St Emlyn's podcast looks back at February 2022. Iain and Simon discuss resuscitation myths, airway management, resuscitative thoracotomy, advanced clinical practitioners and setting future research priorities.
A 2022 appraisal of RePHILL, comparing prehospital packed red cells and freeze-dried plasma with saline for traumatic haemorrhagic shock. It examines the neutral trial result, composite outcomes and patient selection, and asks what questions remain about prehospital transfusion.
Practical perspectives on trauma care and team leadership.
Explore the series →