Could selective aortic arch perfusion become a future resuscitation technique? This appraisal examines a feasibility study using perfused human cadavers, explaining the procedure and its limitations. It considers the research and practical questions that remain before clinical use.
How do experienced prehospital clinicians decide when to give blood? This appraisal explores a qualitative study of physicians at two UK air ambulance services, examining the role of experience and uncertainty, and what these decisions can teach us about training and reflection.
Should patients with restored circulation after cardiac arrest bypass their nearest hospital for a specialist centre? This appraisal of the ARREST trial examines patients without ST elevation, the lack of a survival benefit and the limits of applying London's results elsewhere.
Simon Carley describes volunteering with BASICS and the North West Prehospital Critical Care Charity. This introduction explains how volunteer responders support the ambulance service, how they are activated and governed, and how the charity funds its work.
Iain and Simon look back at the St Emlyn's blog from March 2023. This monthly podcast round-up covers artificial intelligence, single-test troponin rule-out strategies and an update on St Emlyn's WILD.
How did trauma transfusion move from whole blood to crystalloid and component therapy, then back towards whole blood? This 2023 narrative review follows the key studies behind that evolution and considers prehospital transfusion, different injury patterns and the questions still unanswered.
Practical perspectives on trauma care and team leadership.
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