Category: respiratory
JC: Should we continue ventilations during RSI? St Emlyn’s
Over the last few years there has been much effort and a fair bit of #FOAMed activity around ensuring that RSI in critical environments is as safe and efficient as possible. Concepts such as first …
JC: The last breath for apnoeic oxygenation?
Apnoeic oxygenation in emergency intubation in the ED is a concept that has emerged in the past few years and has been promoted by the FOAMed community quite extensively. I have to admit it is …
Every Breath You Take – An Introduction to the Breathless Patient in the ED
Breathless patients are a challenge in the ED. Shortness of breath can be a frightening presenting complaint for both patients and doctors. As always, think about the possible life threatening causes and actively rule them out. …
JC: Hypertonic Saline for Bronchiolitis. St.Emlyn’s
My initial impression when this article popped up on email was that this is old news. We’ve been using 3% nebulised saline for Bronchiolitis in infants for many years (despite major concerns from paediatricians when …
JC: Should we use Heimlich Valves for ambulatory pneumothorax management? St. Emlyn’s
Here at St. Emlyn’s we have been managing patients with pneumothoraces as out patients for many years. The approach in the UK has been ‘guided’ by the BritishThoracic Society guidelines. For many PNXs we simply …
JC: Does Magnesium work in asthma? St.Emlyn’s
This is a roller coaster journey for me. Many years ago Virchester ED was one of the first hospitals to start using Magnesium for the treatment of acute severe asthma. This prompted great concern amongst …