Could selective aortic arch perfusion become a future resuscitation technique? This appraisal examines a feasibility study using perfused human cadavers, explaining the procedure and its limitations. It considers the research and practical questions that remain before clinical use.
Iain and Simon review the October and November 2023 posts, including CRYOSTAT-2, the DAShED study and the annual ILCOR update. The episode also considers emergency department flow, the value of silence and the emergency care community's humanitarian voice.
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 review of the 2023 ILCOR consensus update, focusing on adult resuscitation. Topics include extracorporeal CPR, double sequential defibrillation, calcium, drowning and prognostication, with attention to the uncertainties in the evidence and the continued importance of basic resuscitation care.
Iain and Simon's September 2023 roundup revisits resuscitation research, including tranexamic acid in trauma, video laryngoscopy and defibrillation strategies. They also discuss the ten second triage tool, the RCEM scientific conference and wider questions of inequality in global emergency medicine.
Practical perspectives on trauma care and team leadership.
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