Category: sepsis

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

JC: The 65 trial. Targeting MAP in sepsis. St Emlyn's at #CCR20

Editors note: This blog is based on the presentation of the 65 trial at the Critical Care Reviews conference in Belfast. We will add more data, and be able to add a more detailed critical

All you need to know about Listeria. St Emlyn’s.

Before you start reading this blog summary, I have a small confession to make: I do not think I have ever treated an adult patient with confirmed Listeria infection. Maybe this is because of the

Micro Machines: Sick Neonates at #RATH2018

Micro Machines – Sick Neonates at #RATH2018 If there’s one area in paediatric emergency medicine that seems to scare people more than any other, it’s neonates. It’s hard to fathom how something so small can

EuSEM day 1

St.Emlyn’s at #EuSEM18 – Day 1

They said Marvel’s Avengers: Infinity War was the biggest crossover event in history, then along came a joint conference between the Royal College of Emergency Medicine and the European Society For Emergency Medicine. I think

World Sepsis Conference: #wsc18 an Online, Free, #FOAMed style conference this week. 5th/6th September.

There is no doubt that I love a conference. I’ll freely admit this. I love the travel, the connections and the opportunity to learn, but I also have anxieties about the inequality of conferences, notably

JC: The End of the ‘Roid? ADRENAL

So another year, another Critical Care Reviews meeting. Rob is doing an absolutely fantastic job with these, inviting lead authors from major critical care trials to present and defend their work. In fact, this is

Taking a travel history in the ED by StEmlyns

  Clinical scenario: A young man returns from Thailand where he spent two weeks in rural areas backpacking, rafting, mountain climbing before he starts university back home in Scotland. He has returned to the UK

Are you PROcalcitonin? St.Emlyn’s goes bug-hunting.

At work the other day, someone mentioned that we could use procalcitonin to distinguish between viral and bacterial infections, particularly in the paediatric population. It was touted as the answer to that age-old question, “should

JC: Vitamin SCepTiC?

        We all love the idea of a magic bullet for sepsis. Despite having had our fingers burnt here before (like this time, and this time and that time…), the search continues


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