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.
This week we have a nice paper that highlights some of the ongoing thoughts and controversies about the use of calcium in major haemorrhage protocols. Hopefully you’ve already read Iain’s
More on Calcium and blood products in trauma. St Emlyn’s Read More
The day opened with a sobering plenary about climate change. During the morning concurrent, I attended the Disaster session. Practitioners from around the world shared experiences and lessons from disaster
#ICEM22 Melbourne – Day 3 Read More
The story of vitamin C in sepsis is fascinating. There was a great deal of controversy around what became known as the Marik protocol (after Prof. Paul Marik). The protocol
JC: Vitamin C and sepsis (again). St Emlyn’s Read More
Tranexamic acid in trauma is a well-established standard of care in most mature trauma systems. The two major trials of TXA, CRASH 2 and 3 suggest a small but important
Differential prescribing of TXA by gender. St Emlyn’s Read More
Defibrillation is a core skill in emergency medicine. Traditionally we are taught that an anterior-lateral (AL) placement of pads is preferable, although an anterior-posterior (AP) position can be used if
JC: AP or AL position for cardioversion? St Emlyn’s Read More
Well hopefully you all had a lovely evening and possibly even managed to go for a run along the coast to celebrate having functioning livers! I got into the spirit
RCEM CPD Conference 2022 Day 2 Read More
We made it! A double century of podcasts. In this month’s update Iain and Simon talk through myth busting in resuscitation, Rick Body’s airway expertise (with a side mention for high sensitivity troponin),
Podcast – February 2022 Monthly Round Up Read More
This week we see the publication of the RePHILL trial. This is something we have been looking forward to for some time. A randomised controlled trial of the use of
