A London Air Ambulance cohort study explores partial REBOA for trauma patients with life-threatening bleeding and recent or imminent cardiac arrest. This appraisal considers feasibility, survival and patient selection, alongside the limits of a small observational study and the training and systems needed to deliver the technique.
A review of an observational study comparing mechanical and manual CPR during in-hospital cardiac arrest. The appraisal examines survival outcomes and why patient selection, confounding and the timing of mechanical CPR make the results difficult to interpret.
Iain and Simon's December 2023 roundup covers prehospital transfusion decisions, e-scooter injuries, artificial intelligence in medicine and selective aortic arch perfusion. The episode brings together these posts alongside discussion of the state of UK emergency care.
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.
How should clinicians decide who needs CT imaging for possible acute aortic syndrome? This appraisal examines the DAShED study's assessment of clinical decision rules and clinician judgement in UK emergency departments, highlighting the uncertainty that remains in this difficult diagnosis.
A report from the opening day of the Intensive Care Society's 2023 State of the Art conference in Birmingham. It covers ultrasound workshops, workforce and training challenges, respiratory physiology, ICU design, liver failure and patients' experiences of delirium.
Practical perspectives on trauma care and team leadership.
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