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Category: Resus & Crit Care

JC: Should we use calcium in out of hospital cardiac arrest? St Emlyn’s

A trial published in JAMA asks exactly this question, the full text can be found here. The abstract is below, but as we always say, please read the full paper yourself. Previous studies have shown

JC: More on pulse oximetry and racial bias. St Emlyn’s

This week we are reviewing a paper on the accuracy of pulse oximetry in patients being assessed for ECMO. This is an interesting group as they represent and extremely unwell group of patients where small

JC: Can we use smaller pigtail drains in traumatic haemothorax?

Back in 2016 we published a blog on chest drains and chest aspiration, in which we argued that the dogma of putting in huge drains for traumatic haemothoraces should be questioned. The dogma of using

Learning from airway management in the ED: UK Perspective

This is the transcript for an invited talk at the recent Difficult Airway Society (DAS) 2021 virtual conference. It was lovely to be invited and great of the organisers to create a multidisciplinary opportunity for

JC: The REST trial. St Emlyn’s

Some years ago I remember speaking to a rather well known intensivist who was advocating for the extracorporeal removal of CO2 in ICU patients. His logic was that in patients with hypoxic lung failure we


JC: CTCA for cardiac chest pain in the ED. St Emlyn’s

Computed Coronary Angiography (CTCA) has been advocated as a useful adjunct in the investigation of acute coronary syndromes (ACS) in the ED. Although we’ve made huge progress in the diagnosis of ACS through the use

Top 10 Trauma Papers for Trauma UK conference. 2020-2021. St Emyln’s

It’s that time of year again when the Trauma Care UK conference comes around and I get to talk about 10 interesting trauma papers from the last 12 months or so. This is a regular

JC: The BASICS trial. 0.9% saline vs balanced solution. Does it matter?

I’ll admit that my long term clinical practice has been to prefer balanced solutions (in my case Hartmans) over 0.9% saline in the management of the critically ill patient. It’s a topic we’ve blogged and

targeted temperature management

JC: The TTM2 trial. Normothermia or hypothermia post cardiac arrest.

A quick update on an TTM2 trial published in the NEJM last month. As part of the chain of survival it’s important to optimise the post resuscitation phase, primarily to preserve neurological function as this

Big Shock…..Do we ❤ POCUS?

‘Red Standby 4 mins’ tannoys the nurse in charge. ‘It’s a 70yr old male BP 68/49, pulse 120, GCS 14/15, O2 sats 98% on 15L NRB, temperature 37.5°C’ you are reliably informed by a colleague.

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