JC: Prehospital Whole Blood in Traumatic Haemorrhage – The SWiFT Randomised Controlled Trial
A critical appraisal of a RCT comparing whole blood vs blood component transfusions for bleeding trauma patients
Epi 289: Refractory VF, Double Sequential Defibrillation, and the Future of Cardiac Arrest
In this episode, we talk to Sheldon Cheskes about the evolving science of cardiac arrest, with a focus on refractory and recurrent ventricular fibrillation. We explore the evidence behind double sequential external defibrillation (DSED), how it compares to standard defibrillation, and what the DOSE VF trial has changed in practice. It’s about understanding why defibrillation fails, how vector and energy delivery matter, and when a different approach might improve outcomes.
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Model Emergency Department, Capacity and Demand
NHS England’s Model Emergency Department guidance asks trusts to include demand and capacity modelling in implementation plans. But that is harder than it sounds. Much of future emergency care demand comes from residual factors such as technology, supply-induced demand and access barriers, which traditional modelling often misses.
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2026 PE Guidelines
Pulmonary embolism (PE) is one of those diagnoses that finds its way into a lot of differential diagnoses. In the era of reasonably easy-but-occasionally-argue-with-radiologist to get CTPAs, the diagnosis has increased. An
Ep 288: Training Reform, Trauma Leadership, AI on the Shop Floor and more
This week we discuss loads of things, training reform and trauma leadership to ondansetron, paracetamol protocols, and artificial intelligence. This is our November and December 2025 round-up, and revisits the
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Ep 287 – Damage Control Pre-hospital Care with Harriet Tucker at Trauma 2030
Recorded at Trauma 2030 at the Royal College of Surgeons, this episode explores a shift in mindset in pre-hospital trauma care, away from maximal intervention on scene and towards rapid
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Everything You Need to Know About Making Feedback More Than Just Noise
Simon and I have been talking about better feedback since I first joined the St Emlyn’s crew more than a decade ago (check this out if you don’t believe me
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