Resuscitation

Day two of the 2019 Intensive Care Society State of the Art meeting explores fluids, blood-pressure targets and vasoactive treatment, alongside sustainability and staff wellbeing. Later sessions consider trauma systems, bleeding control, chest injury and the needs of older patients with major trauma.

What does cardiac movement on ultrasound mean when no pulse can be felt? This 2019 review explores pseudo-PEA, its distinction from cardiac standstill and reported outcomes, while highlighting the limited evidence for proposed treatment changes and the need for further research.

Day-one highlights from the 2019 Intensive Care Society State of the Art meeting in Birmingham. Topics include personalised critical care, organ donation conversations, cardiac arrest research, skin and eye emergencies, and the difficult assessment of patients with decompensated liver disease.

Zaf Qasim discusses the practicalities and uncertain evidence for REBOA in this 2019 podcast. The accompanying article considers its place within trauma systems and includes a later update on the UK-REBOA trial, making the distinction between the original discussion and subsequent evidence important.

Pete Hulme reports from Tactical Trauma 2019 in Sweden, bringing together lessons from prehospital teams, police and emergency services. The review explores bystander response, haemorrhage control, triage and team leadership when trauma care takes place in difficult environments.

A review of the CRASH-3 trial and whether tranexamic acid (TXA) is of benefit in traumatic brain injury patients.