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Category: resuscitation

Top 10 Trauma Papers for Trauma UK conference. 2020-2021. St Emyln’s

It’s that time of year again when the Trauma Care UK conference comes around and I get to talk about 10 interesting trauma papers from the last 12 months or so. This is a regular

JC: The BASICS trial. 0.9% saline vs balanced solution. Does it matter?

I’ll admit that my long term clinical practice has been to prefer balanced solutions (in my case Hartmans) over 0.9% saline in the management of the critically ill patient. It’s a topic we’ve blogged and

targeted temperature management

JC: The TTM2 trial. Normothermia or hypothermia post cardiac arrest.

A quick update on an TTM2 trial published in the NEJM last month. As part of the chain of survival it’s important to optimise the post resuscitation phase, primarily to preserve neurological function as this

Anaphylaxis – A Guideline Update

Although this post is mainly about the new Anaphylaxis Guidelines published recently, please bear with me while we get a little nerdy with some physiology first… For anyone starting out in Emergency Care, diagnosing and

JC: Finger on the Pulse?

If you’re an avid follower of FOAM, you’ll have seen many assertions that manual pulse checks by healthcare providers during cardiac arrest are pretty unreliable at best. The most commonly advocated alternatives are EtCO2 increase

JC: Should we rubber STAAMP prehospital TXA?

This post is co-published with our friends at REBEL EM. Background: It almost seems that when it comes to the use of the antifibrinolytic agent tranexamic acid (TXA) in trauma, one argument has just been

JC: TXA in severe head injury. St Emlyn’s

Our post on the CRASH-3 trial, an RCT examining the use of TXA in head injury, was arguably our most controversial of 2019 (1). Our view was that the evidence was not entirely definitive, but

Covid-19 Podcast from Italy with Roberto Cosentini. St Emlyn’s

Dr Roberto Cosentini is an old friend of St Emlyn’s who works in Bergamo, in Northern Italy. He is right at the heart of the recent Covid-19 outbreak. He kindly found an hour to record

Covid 19 preparations in Virchester. St Emlyn’s

The blog and podcast has been a bit quiet recently as we’ve been focused on the preparations for Corona virus​1​ in the UK and around the world. These are our abbreviated thoughts on where we

The Diploma in Immediate Medical Care. Hints and Tips from St Emlyn’s

I recently sat the Diploma in Immediate Care and thought I would share with you some of the things I learned along the way and some of the resources I used. This is a very

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