Could nebulised ketamine offer an alternative to intravenous ketamine for acute pain in the emergency department? This review examines a randomised trial, its analgesic outcomes and the uncertainties around rescue analgesia, patient selection and comparison with usual care.
Measles is a highly contagious viral disease making a resurgence due to declining vaccination rates. It presents with initial symptoms like high fever and coryza, followed by a rash. Rapid isolation and appropriate use of PPE are critical for suspected cases.
This JC from St Emlyn's looks at a paper from SJTRM and explores the association between first-pass success (FPS) during pre-hospital intubation and 30-day mortality in patients treated by Finnish helicopter emergency medical services (HEMS).
Review of an RCT of serratus anterior plane blocks in the emergency department for chest/rib injury. Is this now a standard of care?
Learning and reflections from the first day of the Paediatric Emergencies Update in Noosa in 2024. The report covers childhood stroke, bronchiolitis and practical approaches to painful procedures, including planning for analgesia after children leave the emergency department.
How do you keep track of an entire emergency department while leading a shift? This personal account offers a mental model for the emergency physician in charge, using circles of care, the four S's, bookmarking and partnership with the nurse in charge.