What can an animal study tell us about chest compressions in traumatic cardiac arrest? This 2019 appraisal examines a haemorrhage model in pigs, the role of blood resuscitation and the substantial limits of applying those findings to patients with different causes of arrest.
Must stable patients with recent-onset atrial fibrillation undergo immediate cardioversion? This 2019 appraisal compares early cardioversion with a rate-control and delayed approach, examining a non-inferiority trial’s outcomes, spontaneous conversion and the questions it leaves about complications and practical care.
When exit block leaves patients in the emergency department for many hours, their care needs extend beyond the initial plan. Rich Carden draws on military prolonged field care to offer a checklist covering hygiene, hydration, infection, tubes, medication, analgesia and nutrition.
Appraisal and reflections on the recently published ConSEPT and EcLiPSE trials - what do they mean for the treatment of paediatric status epilepticus?
Revisit April 2019 with the St Emlyn’s monthly podcast round-up. Its accompanying article links explore ANDROMEDA-SHOCK, sleep and learning, aortic emergencies, outpatient pulmonary embolism care and Liz Crowe’s reflections on wellbeing after a distressing event at work.
Liz Crowe reflects on recovery in the months after a deeply distressing work event. The second part of her personal account explores routine, sleep, support and the effort of returning to everyday life, while distinguishing her experience from treatment for a diagnosed mental illness.