How do you prepare a whole team for high-acuity, low-occurrence procedures? The third HALO article explores shared mental rehearsal, simulation, role clarity and debriefing, including how to support colleagues who encounter these procedures without prior preparation.
The TOP-ART trial of Artesunate in the treatment of bleeding trauma patients. This RCT shows no benefit and potential harm, but it may be more complex than that. Further work may be needed on immunomodulation in bleeding trauma patients.
Iain and Simon review the St Emlyn's blog from June 2023, with a focus on critically ill patients in emergency and prehospital care. The episode includes AMAX4, the PATCH trial and highlights from the Wessex and Intensive Care Society conferences.
In a recorded CODA talk, Liz Crowe challenges how healthcare uses the term burnout. The accompanying commentary explores whether that label can obscure different workplace stressors, and considers meaning, teams and the need to understand what would actually improve working lives.
Zaf Qasim examines the UK-REBOA trial results presented at the 2023 Critical Care Reviews meeting. This early commentary considers the signal of harm, differences between patient groups, delays to bleeding control and the role of experience and systems of care.
Highlights from the final day of the Intensive Care Society's 2023 State of the Art Congress. Topics include traumatic brain injury, ethics and end-of-life care, alongside a debate on rehabilitation and supporting patients after critical illness.