Category: Prehospital Care

JC: Can we give tranexamic acid (TXA) via the IM route? St Emlyn’s

Tranexamic Acid (TXA) is a mainstay of trauma management. CRASH 2 (2) demonstrated its effectiveness in bleeding patients and CRASH 3 (1,5) (in my opinion) showed that we should also be using it in mild/moderate

JC: TXA in severe head injury. St Emlyn’s

Our post on the CRASH-3 trial, an RCT examining the use of TXA in head injury, was arguably our most controversial of 2019 (1). Our view was that the evidence was not entirely definitive, but

The Diploma in Immediate Medical Care. Hints and Tips from St Emlyn’s

I recently sat the Diploma in Immediate Care and thought I would share with you some of the things I learned along the way and some of the resources I used. This is a very

JC: Rocuronium or Suxamethoniun for RSI. St Emlyn's

We’re always a little cautious (scared) about entering any sort of emergency airway debate on social media as opinions are usually strongly held, and evidence is often of the lighter variety. One of the more

pre-hospital conference

London Pre-Hospital Care Conference #LTC2019

It’s conference week, and although we started it in Birmingham with the Intensive Care Society State of the Art, we’re now in London at the Royal Geographical Society for the London Trauma Conference. This blog

#Tact19

#TacT19: St Emlyn’s on tour with Pete Hulme

I’m not as big a conference attendee like some people I know (Ed – you mean @EMManchester), but when I heard the conference had its own Spotify playlist (featuring the Matrix soundtrack) and saw the

CRASH-3

JC: Tranexamic Acid (TXA) in Head Injury. The CRASH-3 results. St Emlyn’s

St Emlyn’s had sight of a pre-publication copy of the CRASH-3 trial from the trial team. This allowed us to prepare this blog in advance of publication. The trial authors have not been involved in

RCEMday2

#RCEMasc 2019 Day 2

After a great first day (which you can read about on the day one blog here), we reconvened in Sage, Gateshead for day 2 of the RCEM Annual Scientific Conference. At the AGM the night

Zero Point Survey St Emlyn's

New Zero Point Survey Video from Cliff Reid. St Emlyn’s

We’ve championed the Zero Point Survey (1,2,3,4) here on the blog and in all our simulation teaching in Virchester. If you’ve been following the blog you will hopefully be familiar with the STEPUP system of

Mcgrath vs macintosh laryngoscopes

JC: Macintosh vs. McGrath laryngoscopy in pre-hospital care.

There has been an ongoing debate about the use of video laryngoscopy (VL) in emergency and critical care​1–4​. Proponents speak of the better visibility and ability to teach using video systems whereas those preferring a


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