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.
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
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
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
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
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
This blog post provides concise summaries of recent critical care trials, including HEMOTION, PREOXI, BLING III, CLASSIC, EVIDENCE, VICTOR, and PARAMEDIC-3. Each trial is examined for its key findings, strengths, limitations, and practical implications for clinical practice. The post aims to inform healthcare professionals about the latest evidence-based practices in critical care. #FOAMed
More trials from TBS 2025. (part 2) Read More
We are back at the TBS (The Big Sick) Conference in Zermatt, exploring key research papers that challenge critical care practices. Highlights include arterial blood pressure monitoring, intra-arrest DBP in cardiac arrest, SAPBs for rib fractures, the DanGer shock trial, and double sequential defibrillation timing.
TBS Top papers 2025 (part 1) Read More
How does pre-hospital emergency anaesthesia (PHEA) delivered by Helicopter Emergency Medical Services (HEMS) impacts trauma care timelines compared to emergency department RSI (EDRSI).
