In this episode, recorded at Trauma 2030 at the Royal College of Surgeons, I sit down with one of St Emlyn’s own, Rich Carden, former emergency physician, now intensive care trainee and PhD graduate in trauma sciences — to explore what shock actually means beyond the blood pressure reading.
Should you insert a chest drain before CT in trauma? A practical guide to managing pneumothorax, balancing risk, delay, and decision-making in the resus room. @stemlyns #FOAMed
TTL Tip 9: Chest Drain Before CT? Think, Decide, Communicate Read More
Keep blood in the patient. Control haemorrhage early. Most external bleeding will have been addressed prehospital, but not all. Patients may self-present, deteriorate, or require reassessment as resuscitation progresses. Effective
TTL tips 8: External Haemorrhage control Read More
The study in this post was conducted in southern Gaza, where attacks continue. If you want to want to support medics in the region, consider donating to Doctors Worldwide. Last
Physician-based HEMS provision in the UK has expanded significantly since 2009, but variation remains. This St Emlyn’s review examines access, funding models and whether a largely charity-led system can deliver national equity.
Access to physician-based HEMS in the UK: progress, patchwork or postcode lottery? Read More
A critical appraisal of a RCT comparing whole blood vs blood component transfusions for bleeding trauma patients
In this episode, we talk to Sheldon Cheskes about the evolving science of cardiac arrest, with a focus on refractory and recurrent ventricular fibrillation. We explore the evidence behind double sequential external defibrillation (DSED), how it compares to standard defibrillation, and what the DOSE VF trial has changed in practice. It’s about understanding why defibrillation fails, how vector and energy delivery matter, and when a different approach might improve outcomes.
Epi 289: Refractory VF, Double Sequential Defibrillation, and the Future of Cardiac Arrest Read More
Recorded at Trauma 2030 at the Royal College of Surgeons, this episode explores a shift in mindset in pre-hospital trauma care, away from maximal intervention on scene and towards rapid
Ep 287 – Damage Control Pre-hospital Care with Harriet Tucker at Trauma 2030 Read More
