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We've had some great recent posts at St. Emlyn's on the use of ketamine and LAT gel for children undergoing procedures in the Emergency Department. In this post I'm going to discuss something quite simple, but potentially very powerful and definitely very satisfying, that will often help you to avoid going down the route of procedural sedation.

This is the panel discussion from smacc 2013 with a great group of FOAMites (and me). The panel discuss where FOAM is, where it's going and how it might fit in to the future of Medical Education.

So the dogma increasingly seems to be is that judicious prehospital fluid resuscitation is a bad thing.

While not fortunate enough to actually attend SMACC 2013, I was pleased to catch the much anticipated SimWars event, particularly as Team GB was one of the successful finalists. As we kind of expected, they were presented with a patient who had sustained a snake bite, something maybe a little outside of a British team's experience.

This is a Cochrane review of the use of saline in Bronchiolitis. The authors have looked at all studies with a helpful differentiation between hospital and out patient (ED) studies.

If you haven't seen recent UK media coverage of the review of the Liverpool Care Pathway I have to wonder where you've been. Nevertheless, I really don't want to get involved in the historical facts and opinions surrounding the pathway itself - I want to know what the recent review article means for me as an ED physician.