How should clinicians decide who needs CT imaging for possible acute aortic syndrome? This appraisal examines the DAShED study's assessment of clinical decision rules and clinician judgement in UK emergency departments, highlighting the uncertainty that remains in this difficult diagnosis.
Emergency Department Management
Simplifying urgent care data translation is essential for hospital flow improvement. This post provides a perspective on how to achieve this.
Liz Crowe reflects on noise, constant stimulation and the difficulty of finding quiet in a busy life. She explores what silence can offer and suggests ways to make space for it, including small pauses during demanding clinical shifts.
A review of the 2023 ILCOR consensus update, focusing on adult resuscitation. Topics include extracorporeal CPR, double sequential defibrillation, calcium, drowning and prognostication, with attention to the uncertainties in the evidence and the continued importance of basic resuscitation care.
Dan Horner examines CRYOSTAT-2, a randomised trial of early empirical high-dose cryoprecipitate in major trauma haemorrhage. The appraisal explores the mortality results, trial limitations and subgroup findings, and considers what the study means for major haemorrhage protocols.
Iain and Simon's September 2023 roundup revisits resuscitation research, including tranexamic acid in trauma, video laryngoscopy and defibrillation strategies. They also discuss the ten second triage tool, the RCEM scientific conference and wider questions of inequality in global emergency medicine.
Practical perspectives on trauma care and team leadership.
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