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Category: #FOAMed

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

CTCA

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

August 2021 podcast round up. St Emlyn’s

Our regular round up of the best of the blog from August 2021 with Iain and Simon.

Trauma in pregnancy: Core knowledge and key skills. St Emlyn’s

written by Anisa Jafar @EmergeMedGlobal and Anthony Joseph “Trauma standby: approximately 34 weeks pregnant female driver, 50 mph road traffic accident, air-bag deployed no obvious injuries, SpO2 99%, HR 95, BP 120/85, RR 16. ETA

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

JC: Non-invasive ventilation for COVID 19 patients. The Recovery RS trial. St Emlyn’s

I remember back at the beginning of the pandemic when we were seeing lots of patients arriving in the ED in extremis. The now familiar picture of the deeply hypoxic patient with terrible chest X-rays

EMTA Survey 2020: The good, the bad and the ugly

Co-authored with Dan Darbyshire (@dsdarbyshire) Training and practicing in emergency medicine has been hard the last 18 months. The 2020 EMTA survey tells us where things are not working and where things could be better

June and July 2021 Podcast round up. St Emlyn’s

Our regular round up of the best of the blog from June and July 2021. Some Aural sunshine for you in these Summer months (in the Northern Hemisphere at least). Links to the blog posts

JC: Thromboprophylaxis for the non ICU hospitalised COVID-19 patient. St Emlyn’s

Back in March we reported on a pre-print trial of thromboprophylaxis of ICU patients. The results suggested that there was no benefit for therapeutic dose anticoagulation in COVID19 as a prophylactic strategy for critically ill patients with COVID19. This