Category: resuscitation

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

JC: AVP in Haemorrhagic Shock. St Emlyn’s

Blood product transfusion can be lifesaving for patients who have suffered major trauma, but the associated side-effects and risks, mean that most people would agree that less is more. This paper by Sim et al

The VITAMINS trial

JC: The Vitamins trial. Hydrocortisone, Vit C and Thiamine (Marik protocol – or not?) in sepsis. St Emlyn's

You may remember the controversy about Paul Marik’s suggestions that a combination of Vitamin C, steroids and Thiamine (sometimes known as HAT​1​) is a cure all for sepsis. There were some rather dramatic claims that

St Emlyn's in Brum #ICSSOA 2019 – Day 1

We’re here again at the Intensive Care Society State of the Art Conference. This year for 2019 it’s in Birmingham (possibly the best city in the world, though of course I’m slightly biased having grown

RCEMday2

#RCEMasc 2019 Day 2

After a great first day (which you can read about on the day one blog here), we reconvened in Sage, Gateshead for day 2 of the RCEM Annual Scientific Conference. At the AGM the night


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