A review of the 2023 ILCOR consensus update, focusing on adult resuscitation. Topics include extracorporeal CPR, double sequential defibrillation, calcium, drowning and prognostication, with attention to the uncertainties in the evidence and the continued importance of basic resuscitation care.
Iain and Simon's September 2023 roundup revisits resuscitation research, including tranexamic acid in trauma, video laryngoscopy and defibrillation strategies. They also discuss the ten second triage tool, the RCEM scientific conference and wider questions of inequality in global emergency medicine.
How do you prepare a whole team for high-acuity, low-occurrence procedures? The third HALO article explores shared mental rehearsal, simulation, role clarity and debriefing, including how to support colleagues who encounter these procedures without prior preparation.
The TOP-ART trial of Artesunate in the treatment of bleeding trauma patients. This RCT shows no benefit and potential harm, but it may be more complex than that. Further work may be needed on immunomodulation in bleeding trauma patients.
Iain and Simon review the St Emlyn's blog from June 2023, with a focus on critically ill patients in emergency and prehospital care. The episode includes AMAX4, the PATCH trial and highlights from the Wessex and Intensive Care Society conferences.
In a recorded CODA talk, Liz Crowe challenges how healthcare uses the term burnout. The accompanying commentary explores whether that label can obscure different workplace stressors, and considers meaning, teams and the need to understand what would actually improve working lives.