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Category: Prehospital Care

JC: The RePHILL trial. St Emlyn’s

This week we see the publication of the RePHILL trial. This is something we have been looking forward to for some time. A randomised controlled trial of the use of packed red cells, LyoPLAS and

Bezold Jarisch

What is the Bezold-Jarisch Reflex and why do I care?! St Emlyn’s

Bradycardia in the trauma patient can be a perilous sign. One might observe a typical course of events in which a bleeding trauma patient progresses through the compensatory mechanisms in response to shock. It is

Manchester Arena Bombing data now published in EMJ. St Emlyn’s

Next month we will mark the fourth anniversary of the Manchester Arena Bombing on the 22nd May. As you will remember Salman Ramadan Abedi detonated an improvised device in the foyer of an Ariana Grande

cricothyroidotomy

JC: Real world cricothyroidotomy experience. St Emlyn’s

Cricothyroidotomy is a procedure that worried many emergency physicians. Partly because it’s a rare procedure, but also because we are likely to embarking on it at a time when things are ‘going wrong’. The most

Can a prediction model improve major trauma triage? St Emlyn’s

Ed – Tom Shanahan (here in Virchester) recently published a paper on whether a Dutch prediction model is better at identifying major trauma patients than existing methods. The publication provoked an interesting debate on Twitter

JC: Should we rubber STAAMP prehospital TXA?

This post is co-published with our friends at REBEL EM. Background: It almost seems that when it comes to the use of the antifibrinolytic agent tranexamic acid (TXA) in trauma, one argument has just been

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