Part two of this introduction to paediatric point-of-care ultrasound examines trauma, shock, vascular access and cardiac assessment. It also considers nerve blocks and foreign bodies, while highlighting the limited evidence for some uses and the limitations of FAST as a rule-out test.
An introduction to point-of-care ultrasound in the paediatric emergency department, covering lung, musculoskeletal and abdominal presentations. The article weighs potential benefits against the evidence, with particular attention to operator training and whether results from experienced enthusiasts apply to novice scanners.
A discussion of the 2023 joint Royal College statement on emergency contrast CT and renal function. It examines delays while awaiting creatinine results, decisions in life- or limb-threatening situations, and the caveat that a senior decision maker should be involved.
The opening day of the 2022 RCEM Spring CPD Conference in Bournemouth, reviewed by Chris Gray. Topics include point-of-care ultrasound, trauma research, neurosurgical transfer, cardiology, dermatology and toxicology, alongside reflections on clinical decision-making.
Journal ClubEvidence-Based Medicine
Can newer CT scanners reliably exclude subarachnoid haemorrhage beyond six hours? This 2021 appraisal examines a retrospective study, focusing on patient selection, uncertain symptom timings and why cumulative sensitivity figures may not answer the emergency clinician's question.
A 2021 appraisal of early CT coronary angiography for patients with suspected acute coronary syndrome. It examines a UK randomised trial's patient outcomes, use of invasive angiography and limitations, asking whether routine CTCA is justified in this selected population.
Practical perspectives on trauma care and team leadership.
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