Can head-up positioning combined with mechanical CPR and an impedance threshold device improve cardiac arrest outcomes? This 2022 appraisal examines an observational comparison, explaining why differences between cohorts and exploratory analyses limit the conclusions it can support.
When emergency departments are crowded, are we describing a risk or harm that is already happening? Simon Carley challenges the language used in patient safety discussions and argues for clearer communication about crowding and its consequences.
A 2022 review of UK prehospital blood-product and calcium replacement protocols. The article explores variation between services, the limits of survey evidence and unanswered questions about calcium timing and dose, distinguishing associations with poor outcomes from evidence of treatment benefit.
Iain and Simon review highlights from the St Emlyn's blog in this combined June and July 2022 podcast round-up.
A 2022 review of the RECOVERY trial's baricitinib comparison in hospitalised patients with COVID-19. It explains the adaptive trial design, examines 28-day mortality and considers the uncertainty about longer-term outcomes alongside other immunosuppressive treatments.
A critical look at the EXIT study's 2022 consensus statements on extrication after road traffic collisions. The review considers self-extrication, gentle handling and time-critical care, alongside questions about expert selection and the modified Delphi process used to reach agreement.
Practical perspectives on trauma care and team leadership.
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