Category: Resus & Crit Care

JC StO2 monitoring in the ED. St.Emlyn’s

Journal club was interesting this week. The marvellous AR brought a paper along from the EMJ looking at the use of non-invasive tissue oxygen monitoring in septic patients. Aha, interesting we thought, there is certainly

JC: Tranexamic Acid for Everyone? – St.Emlyn’s

A few months back there was a short twitter conversation between (if I remember rightly) @adamchesters, myself and @karimbrohi about the use tranexamic acid for patients in the prehospital setting. At that time the picture

Apply Some Pressure..? Traumatic Cardiac Arrest – St.Emlyn’s

What’s my view? Well how am I supposed to know? Write a review Well how objective can I be? I like to wait to see how things turn out If you apply some pressure Mark

arterial venous blood gas

V & A in the ED – blood gases – St.Emlyn’s

“Why are you doing an Arterial Blood Gas on that patient?”   I thought it was a decent enough question to put to one of our senior EM trainees in the resus room at StE’s.

Little white lies in the resus room – St.Emlyn’s

Pre intubation communication in the resus room for major burns patients. Ethics communication and beliefs. Dilemmas in emergency medicine.

Cardiology Case 01

Here we go with what I hope will become a regular feature of the St. Emlyn’s blog – a cardiology case of the month.  This is something I’ve been running for short while in my

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JC All I want for CRYSTMAS in ITU land…, are some more potatoes, and a drink!

A review of the CRYSTMAS study comparing starch vs. saline for severe sepsis patients.

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The time bomb of doom: What I think about when I’m tending broad beans

The dilemmas and difficulties of diagnosing Aortic dissection in the emergency department. Differential diagnosis. Early investigation and management.

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JC: The end for potatoes on the ICU…?

Another Journal club, another fruity (or vegetable-y) discussion today. The recent large prospective RCT by the Scandinavian 6S trial group on HydroxyEthyl Starch vs Ringer’s acetate in severe sepsis was published in the NEJM this

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Deciding Who To Investigate For ACS: The Problem Of ‘Coronary Bridge’

It seems to me that many emergency physicians struggle to understand exactly how we’re supposed to be managing patients with suspected cardiac chest pain.  The first, and arguably most important question, is about who we


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