The Annual ILCOR Update – what’s new in adult life support
A summary of the annual consensus update from the International Liaison Committee on Resuscitation looking particularly at ECPR, DSED, Drowning and prognostication
Journal Club
Musings form the evidence based journal club at St Emlyns
SASEM 2023. Top 10 papers. St Emlyn’s
Top 10 papers from 2022-2023 for the SASEM 2023 conference in Jeddah.
JC: The ARREST trial. Does bypass to cardiac arrest centres save lives? St Emlyn’s
Journal Club review of the ARREST trial showing that bypass to a cardiac arrest centre in London does not improve outcomes. #FOAMed #cardiology @stemlyns
JC: Can clinical examination identify life threatening injuries? St Emlyn’s
Can clinicians identify life threatening injury in trauma patients? Probably not as reliably as we would wish according to this paper from London. Even in an experienced high performing EHPC team it’s tricky to discern which patients have life threatening, limb threatening or significant bleeding injuries. #FOAMed @stemlyns
JC: The TOP-ART study: Artesunate for bleeding trauma patients. St Emlyn’s
The TOP-ART trial of Artesunate in the treatment of bleeding trauma patients. This RCT shows no benefit and potential harm, but it may be more complex than that. Further work may be needed on immunomodulation in bleeding trauma patients. @stemlyns #FOAMed
JC: The UK-REBOA trial. Has the balloon popped? St Emlyn’s
Zaf Qasim @resusone reviews the UKREBOA trial. No benefit shown, but is this really the end of REBOA in trauma? #FOAMed @stemlyns
JC – Video vs Direct Laryngoscopy for Tracheal Intubation of Critically Ill Adults
Critical appraisal of the DEVICE trial as published in 2023 NEJM. VL outperforms DL in this study of critically unwell patients. #FOAMed #airway @stemlyns
Semi Structured Interviews (CAN9)
Semi-structured interviews are a great way to get the really rich data we need to understand something in greater depth. They allow us to ask ‘why?’ as well as just ‘what?’, ‘who?’ and ‘when?’.