Conference ReportsCritical Care
Trauma research selected for the 2022 EuSEM conference in Berlin. Simon Carley reviews papers on prehospital blood products, chest injuries, tranexamic acid, extrication and resuscitative thoracotomy, weighing their limitations and possible implications for practice.
Emma Gold describes her work with the African Federation for Emergency Medicine and preparations for AfCEM 2022 in Ghana. She explains how conference access, professional networks and the Support a Delegate programme contribute to emergency care development.
Philosophy of Emergency Medicine
Why do resuscitation decisions sometimes swing back and forth without producing action? Simon Carley uses a trauma scenario to explore decision paralysis, sharing strategies for agreeing key information and review times while keeping the whole team involved.
Emergency Department Management
Does grouping admission decisions improve emergency department flow, or simply shift the queue? This journal club examines a US observational study of batching, exploring the tension between individual clinician productivity, patient boarding and the wider hospital system.
A 2022 journal club on the FAKT trial of fentanyl during rapid sequence intubation with ketamine and rocuronium. It separates the primary blood-pressure outcome from secondary findings and considers how patient selection and drug timing affect interpretation.
Can head-up positioning combined with mechanical CPR and an impedance threshold device improve cardiac arrest outcomes? This 2022 appraisal examines an observational comparison, explaining why differences between cohorts and exploratory analyses limit the conclusions it can support.
Practical perspectives on trauma care and team leadership.
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