Next month we will mark the fourth anniversary of the Manchester Arena Bombing on the 22nd May. As you will remember Salman Ramadan Abedi detonated an improvised device in the foyer of an Ariana Grande concert in Manchester resulting in …
I’ve been reflecting on why there is disagreement about how influential new evidence is to clinical practice in the last year or so. COVID-19 has shown that the thresholds for what we believe and when vary considerably between individuals and …
I am sure you all saw the recent MHRA press release and guidance, discussing the issue of a possible link between the AstraZeneca COVID19 vaccine and a rare type of thrombotic condition of Vaccine induced thrombocytopenic thrombosis (VITT). This is …
Last year I was contacted by Peter Brindley, Leon Byker and Brent Thoma to collaborate on a paper for the Journal of the Intensive Care Society. The aim was to help people understand a little about quality in assessing #FOAMed …
Cricothyroidotomy is a procedure that worried many emergency physicians. Partly because it’s a rare procedure, but also because we are likely to embarking on it at a time when things are ‘going wrong’. The most …
This week the RECOVERY trial has released the first results from the Colchicine arm of the trial. We await the pre-print and the peer reviewed paper, but we are already very familiar with the trial …
Ed – Tom Shanahan (here in Virchester) recently published a paper on whether a Dutch prediction model is better at identifying major trauma patients than existing methods. The publication provoked an interesting debate on Twitter …
It’s very rare we produce three instalments on one particular drug for one particular condition, and certainly not within such a short time frame. However, tocilizumab has been worth it. Maybe not the one intervention …
Over the years we have had more than a passing interest in tranexamic acid. In part because we have been involved in some of the research, recruiting to trials, or acting as principal investigators, but …
Our regular round up of the best of the blog and podcast from January 2021 with Iain and Simon. The links to the articles are below together with a link to our podcast. Please don’t …
Going into hospital as an emergency during the COVID-19 pandemic must be extremely scary for patients and their relatives. With no relatives allowed to visit and staff dressed in full PPE, the experience must be …
In arguably the most important therapeutic news of the pandemic since Dexamethasone, the RECOVERY trial investigators have revealed the initial results on the Tocilizumab arm of the trial showing a significant benefit. This short blog …
Two cars with an average speed of 40 mph. Measuring speed Imagine you are flying down the highway in the car of your dreams, sunglasses on, the wind in your hair, great music playing and …
We see a lot of patients in the ED with a history of what sounds very much like a transient ischaemic event (TIA). By definition the patient will have had resolution of their symptoms/signs and …
