Category: resuscitation

RCEM CPD conference day 2

RCEM CPD Conference 2022 Day 2

Well hopefully you all had a lovely evening and possibly even managed to go for a run along the coast to celebrate having functioning livers! I got into the spirit of things with a quick

SASEM: Cutting Edge Evidence-based Airway Management

I gave this talk at the SASEM (Saudi Arabian Society for Emergency Medicine) conference, 2022. In this talk, I discuss recent practice-changing evidence relating to emergency airway management. I cover endotracheal intubation in out of hospital cardiac arrest (including the AIRWAYS-2 trial), video vs. direct laryngoscopy tips to optimise your view on laryngoscopy and maximise first pass success, and I cover the use of surgical cricothyroidotomy by London Ambulance Service.

Bezold Jarisch

What is the Bezold-Jarisch Reflex and why do I care?! St Emlyn’s

Bradycardia in the trauma patient can be a perilous sign. One might observe a typical course of events in which a bleeding trauma patient progresses through the compensatory mechanisms in response to shock. It is

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

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