Resuscitation

Simon Carley selects ten trauma papers for the 2018 Trauma Care UK conference, focusing on questions that might change bedside practice. Topics range from imaging and transport to brain injury, pneumothorax and team performance, with critical discussion of study limitations and the challenges of translating evidence into care.

The second day of badEMfest 2018 combines practical emergency care with questions about leadership and humanity. This report covers paediatric problems, imaging in pregnancy, trauma resuscitation and South African emergency services, alongside feedback, staff support, sleep and kindness in clinical encounters.

What can early pupil responses tell us after cardiac arrest? This 2018 review examines a large French observational study, separating association with outcome from the ability to predict an individual patient’s recovery. It challenges decisions based on a single early finding and considers how prognosis is discussed.

The opening day of badEMfest 2018 puts equality, advocacy and African-led solutions at the centre of emergency care. This report brings together discussions of traditional medicine, respectful transgender care, point-of-care ultrasound and resuscitation, asking how local context and unequal access shape what clinicians can achieve.

Did the SMART trial settle the debate about balanced fluids and saline in intensive care? This 2018 journal club examines its cluster-randomised design, small difference in a composite kidney outcome and interpretation of mortality findings. It asks how much weight clinicians should give the results.

Iain and Simon revisit January 2018 on the St Emlyn’s podcast. The linked discussions include devastating brain injury, dizziness, clinical reflection, CRYOSTAT-2 and the ADRENAL trial, alongside conference reports and working in Africa. The episode brings together that month’s clinical evidence, education and professional perspectives.