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Intubation for the low GCS tox patient

12 min read

Does a low Glasgow Coma Scale score in acute poisoning always require intubation? This appraisal examines a randomised trial of a conservative airway strategy, focusing on patient selection, criteria for intervention and the importance of assessing the clinical trajectory.

Resolutions or Habits?

9 min read

Why do New Year's resolutions so often fade? Liz Crowe explores the difference between motivation and habit, using cues, behaviour and rewards to think about change. Her reflection offers practical examples of starting small, shaping routines and responding kindly to setbacks.

Selective aortic arch perfusion

6 min read
Selective Aortic Arch Perfusion

Could selective aortic arch perfusion become a future resuscitation technique? This appraisal examines a feasibility study using perfused human cadavers, explaining the procedure and its limitations. It considers the research and practical questions that remain before clinical use.

AI & Medicine: Saviour or Snake Oil?

16 min read

A personal reflection from 2023 on artificial intelligence in medicine, education and assessment. Drawing on automation in aviation, the author explores the potential benefits and the risk of losing the clinical experience and judgement needed when technology cannot provide an answer.

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