JC: Impact Brain Apnoea. St.Emlyn’s
I’ll keep this post brief. This is not a critical appraisal and it’s not a review. It’s an invite to read a paper I was honoured to help write on […]
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Critical Care
Explore essential critical care topics, including sepsis, respiratory failure, haemodynamic support, and trauma resuscitation. Our evidence-based posts provide practical guidance on managing critically ill patients in emergency and acute care settings.
Managing Acute Behavioural Disturbance
A 31 year old gentleman is wheeled into your resuscitation room by two paramedics and four police officers. You were pre-alerted five minutes ago that you would be receiving an
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Can we buy time in bleeding trauma. St.Emlyn’s.
Bleeding in trauma has had a lot of press recently. In Europe we have had several international consensus guidelines published on the topic. Unfortunately, these guidelines (published the same year)
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JC: Salt or Sugar? Hypertonic saline for head injury at St.Emlyn’s.
‘Why did you give Mannitol?’ asked the Registrar. ‘Hypertonic saline was the standard of care for head injury at St.Elsewhere and I was told it reduced mortality’. OK, so that’s
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The European Guideline on Management of Major Bleeding – are you in or out?
After my recent, hugely enjoyable, trip to Austria and attendance at the “notfallmedizin 2016” where, as well as doing a talk about FOAMed, I chaired a session on “Volume and
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JC: Arrested Developments. St.Emlyn’s
Good quality, practice-changing prehospital research is difficult to come by for a number of reasons, not least the fact that the standalone specialty itself is in relative infancy. Issues
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When to withdraw resuscitation in the Emergency Department. St.Emlyn’s with Richard Taylor.
When can and should we withdraw from continuing resuscitation in the ED? The standby phone rings: Post cardiac arrest patient, approximately 50. Intubated, BP 80/40, GCS 3. ETA 5 minutes.
Holy Smokes! Batman, the SOFA and the Latest Sepsis Definitions
We can be a confused bunch when it comes to sepsis. We have seen definitions, debates and controversies as to how we treat and what we treat. Today a new
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