Written during the 2023 ketamine shortage, this appraisal revisits etomidate for induction in critically ill adults. It examines a meta-analysis of randomised trials, the reported mortality signal and limitations in applying pooled results to emergency and prehospital practice.
A discussion of the 2023 joint Royal College statement on emergency contrast CT and renal function. It examines delays while awaiting creatinine results, decisions in life- or limb-threatening situations, and the caveat that a senior decision maker should be involved.
What distinguishes body packing, pushing and stuffing, and why does it matter in the emergency department? This 2023 overview covers presentations, imaging and toxicity, alongside consent, communication with police and the guidance discussed for managing concealed drugs.
An introduction to the Global Emergency Care Collaborative's July 2023 event in Edinburgh. The post outlines its speakers and themes, exploring global health projects, programmes and research, and opportunities for collaboration across emergency care settings.
A review of the May 2023 NICE head injury guideline update for adults and children. It discusses CT decisions for patients taking anticoagulants or antiplatelets, tranexamic acid in isolated head injury, hypopituitarism and the implications for emergency department practice.
Personal preparation for high-acuity, low-occurrence procedures goes beyond learning the physical technique. Part two of the HALO series explores decision triggers, managing stress, self-talk, mental rehearsal and focus, with an emphasis on deliberate practice before a crisis.