Resuscitation

A first look at the 65 trial as presented at Critical Care Reviews 2020. The review examines lower blood-pressure targets in older intensive care patients with vasodilatory hypotension, reduced vasopressor exposure and uncertainty around mortality, with a discussion of interpretation beyond statistical significance.

Why can a satisfying day of emergency procedures be a patient's worst day? Simon Carley's DFTB talk and accompanying reflection examine that tension, the motives behind interventions and the emotional support clinicians and learners need when a resuscitation becomes difficult or ends badly.

A 2019 appraisal of rocuronium versus suxamethonium for prehospital rapid-sequence intubation. The review examines first-pass success, the interpretation of a non-inferiority trial and the limits of detecting rare complications, while considering how airway choices depend on the wider clinical setting and available resources.

A review of the first UK Resuscitology course in Manchester, using challenging cases to examine how teams think and act during resuscitation. The article introduces STEPS and GPAS analysis, connects them with the Zero Point Survey and shares visual summaries of the learning.

Highlights from the prehospital day of the 2019 London Trauma Conference. The report covers cardiac arrest decisions, access to defibrillation, vascular access, major incident response and obstetric emergencies, alongside practical discussion of communication and cognitive overload in pressured environments.

The final day of the 2019 Intensive Care Society State of the Art meeting, with discussions of cardiogenic shock services, sepsis treatment debates and recovery after critical illness. The report also explores blood cultures, oxygen exposure and the challenges of interpreting emerging research.