Iain and Simon review the January 2023 blog posts, with discussion of dual sequence defibrillation and concussion. The episode also includes an update on the plans for St Emlyn's WILD at the time.
A Dutch randomised trial tests extracorporeal cardiopulmonary resuscitation for refractory out-of-hospital cardiac arrest. This appraisal examines survival with favourable neurological outcomes, patient selection and delays to treatment, asking how much the result reflects the system delivering ECPR.
Can patients have lasting problems after a mild traumatic brain injury despite a normal CT scan? This appraisal examines a prospective cohort study of functional recovery, persistent symptoms and the implications for follow-up, including how the selected population affects interpretation.
Zaf Qasim reports from day two of the London Trauma Conference 2022. Highlights include traumatic brain injury, haemorrhagic shock, rehabilitation, ethics, thoracotomy and regional anaesthesia, alongside discussions about trauma systems, training and the evidence for REBOA.
A December 2022 appraisal of RECOVERY preprint results comparing higher-dose steroids with usual care in hospitalised COVID-19 patients receiving simple oxygen or none. It examines the mortality harm signal, early stopping and why these findings did not cover patients receiving ventilatory support.
Zaf Qasim shares highlights from the first day of the London Trauma Conference 2022. Topics include major incidents, responder wellbeing, trauma handover, prehospital blood, decision-making under pressure and the challenges of gunshot and farm-related injuries.