Could a resuscitative care unit bring short-term critical care closer to the emergency department? This 2019 review explores the proposed model, staffing and training requirements, its possible fit within UK services and the limitations of early outcome evidence.
Ashley Liebig draws on her experience with helicopter emergency medical services to discuss psychological performance in resuscitation. This St Emlyn’s Live talk, available as video and audio, focuses on working under pressure when decisions are urgent and information is incomplete.
Should severely injured patients receive an early vena cava filter when anticoagulant thromboprophylaxis is initially unsuitable? Dan Horner examines a 2019 randomised trial, weighing its main outcome, subgroup findings and potential harms before considering what it means for trauma care.
The June 2019 podcast round-up revisits a month of St Emlyn’s articles and recordings. Accompanying links explore clinicians’ psychological wellbeing, traumatic cardiac arrest, the reliability of intraosseous blood samples and Alan Grayson’s discussion of trauma care beyond ATLS.
Chris Gray explores the team response to major upper gastrointestinal bleeding in this St Emlyn’s Live talk and accompanying article. The focus is on coordinating emergency care with anaesthesia, critical care, the blood bank, endoscopy and interventional radiology.
Can an intraosseous blood sample provide dependable laboratory results in a critically ill patient? This 2019 appraisal examines a systematic review, highlighting the small amount of relevant patient data and why correlation between samples does not necessarily establish agreement.