Category: Resus & Crit Care

JC: Family presence for Brain Death Evaluation. St.Emlyn’s

Here in Virchester we believe that families are important. Natalie has written before about the benefits of family presence during paediatric resuscitation and it’s pretty much standard practice in both our virtual paeds and adult

JC: There’s no jump with a precordial thump. St.Emlyn’s

Sometimes you just feel like a bit of a fool. Like today when I wrote the post below and then asked Dr May to have a look at it. Can you guess her response? You

JC: What’s the target temperature for OOHCA cooling. St.Emlyn’s

Many thanks to the twitter FOAMites for alerting us to an online first paper in the NEJM on the use of therapeutic hypothermia post cardiac arrest. If you’ve followed St.Emlyn’s for any time then you

JC: Major Transfusion Protocols – evidence or lack of? St.Emlyn’s

Major Trauma Protocols for transfusion in the emergency department are a good thing aren’t they? I certainly think so, it’s something we have instituted in both paediatric and adult practice. Surely there must be robust

JC: Is surgical fixation of rib fractures ready for a comeback? St.Emlyn’s

If you’re an emergency physician practicing in the UK you may  be a bit surprised to hear about a trial published this week looking at the use of open reduction and internal fixation of rib

PCI for OOHCA with NSTEMI post ROSC? An acronym too far?

So you’ve done it. In a dazzling display of medical prowess worthy of a medical TV drama you have restored the dead to life! With scrupulous airway management, high quality chest compressions (assisted by some waveform

Road to… Nowhere? ED Implications of the Liverpool Care Pathway Review

If you haven’t seen recent UK media coverage of the review of the Liverpool Care Pathway I have to wonder where you’ve been. Nevertheless, I really don’t want to get involved in the historical facts

JC: If the Video Laryngoscope was stroke thrombolysis……. St.Emlyn’s

It has been truly fascinating to look at the responses to the paper on use of the glidescope for trauma patients. The post looks at the paper from R Adams Cowley shock trauma centre that

JC: Did Video kill the Laryngoscope star? Here comes the evidence. St.Emlyn’s

Although Britain and Ireland appear to be really rather fabulous at Rugby….thought I’d get that in there….., I do worry that we are falling behind the curve in terms of laryngoscopy in the ED. If

On a FAST track to nowhere at St.Emlyn’s

This week a little attempt at #dogmalysis for USS education in the UK. I want this to make you think about the links between what we teach and learn vs patient outcomes. In an ideal

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