Category: Resus & Crit Care

St.Emlyn’s at #EuSEM18 – Day 2

It’s day 2 at #EuSEM18. Despite our best efforts the night before, the St.Emlyn’s team were up and on time for the morning of day 2. We had a great introduction to EuSEM on Sunday

We call it massiiiiiiivve. PE at St Emlyn’s

I have been asked to talk about the diagnosis of massive PE for the upcoming EUSEM congress in Glasgow this month. We have blogged on this before1, but it’s a thorny issue and one that

JC: OOHCA and Airway management. Do we need a tube? St Emlyn’s

  If out-of-hospital cardiac arrest and outcome data is the topic, long is the list of research and passionate is the debate on every possible measurable outcome from pit crew CPR to methodology of compression

JC: Intravenous fluid therapy in critically ill adults (review). St Emlyn’s

The use of Intravenous fluid therapy and the controversies around them have been a theme of the blog from the very beginning. From the early days when evidence increasingly pointed to the harms of starch

JC: Does Epinephrine work in Cardiac Arrest. St Emlyn’s

Epinephrine use in cardiac arrest is controversial1,2. Despite patho-physiological arguments3,4 that it can improve brain perfusion and even that it may improve the rate of ROSC (Return of Spontaneous Circulation) many have expressed the concern

torso trauma basics

Torso Trauma tips and the BASICS North West conference 2018. St Emlyn’s

Not every conference has to be huge, multimedia and international, there is a lot to be said for local conferences. This week I attended the BASICS North West regional conference1. Here are some of my

#badEMfest18 Day 4. Farewell and thank you from St Emlyn’s

or And, in the blink of an eye, it was the final day of #badEMfest18. This is the final post on #badEMFest18 and it’s been a long time coming. Maybe that’s because it’s been busy,

St.Emlyn’s takes a NAP

Thinking about a NAP after reading the title? If you’re an emergency clinician, you probably came to this post thinking one of two things: A nap? They sound pretty cool, I could use one of

JC: TICH TICH BOOM? TXA in ICH. St Emlyn’s

TXA. Huh. Good god y’all. What is it good for? Absolutely everything. This appears to be the alternative hypothesis for the TICH-2 study 1, published last week in the Lancet. Off the back of recent

JC: Don’t blame it on the Bougie. St Emlyn’s

Many years ago I did my CTR (the Clinical Topic Review*) for my FCEM exam on facilitating intubation in the C-spine immobilised patient. The actual CTR is lost in the mists of time, but the


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