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Category: Resus & Crit Care

JC: Vitamin C and sepsis (again). St Emlyn’s

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 included the use of vitamin

Differential prescribing of TXA by gender. St Emlyn’s

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 decrease in mortality for patients

JC: AP or AL position for cardioversion? St Emlyn’s

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 AL does not work. This

JC: The RePHILL trial. St Emlyn’s

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 packed red cells, LyoPLAS and

SASEM: Cutting Edge Evidence-based Airway Management

I gave this talk at the SASEM (Saudi Arabian Society for Emergency Medicine) conference, 2022. In this talk, I discuss recent practice-changing evidence relating to emergency airway management. I cover endotracheal intubation in out of hospital cardiac arrest (including the AIRWAYS-2 trial), video vs. direct laryngoscopy tips to optimise your view on laryngoscopy and maximise first pass success, and I cover the use of surgical cricothyroidotomy by London Ambulance Service.

SASEM: Myths in resuscitation practice. St Emlyn’s

This week I am (virtually) presenting in Riyadh, Saudi Arabia at the Saudi Arabian Society of Emergency Medicine 7th Scientific Assembly. It’s always a pleasure to join colleagues from Saudi Arabia and around the world

JC: Etomidate vs. Ketamine for emergency intubation. St Emlyn’s

Just a quick review this week as this is a paper published back in December that has been superbly reviewed already over on the SGEM. However, it’s an interesting topic and one that has been

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