A 2022 overview of severe traumatic brain injury, centred on preventing secondary injury before and during specialist transfer. Dan Horner discusses tiered management and unresolved questions about osmotherapy, blood-pressure targets and brain tissue oxygen monitoring.
When emergency departments are crowded, are we describing a risk or harm that is already happening? Simon Carley challenges the language used in patient safety discussions and argues for clearer communication about crowding and its consequences.
How do we protect the parts of emergency medicine that make a career sustainable when services are under constant pressure? This reflection explores teaching, research and professional development, and the role of leaders in preserving what gives colleagues energy and satisfaction.
A 2022 review of UK prehospital blood-product and calcium replacement protocols. The article explores variation between services, the limits of survey evidence and unanswered questions about calcium timing and dose, distinguishing associations with poor outcomes from evidence of treatment benefit.
Iain and Simon review highlights from the St Emlyn's blog in this combined June and July 2022 podcast round-up.
A 2022 review of the RECOVERY trial's baricitinib comparison in hospitalised patients with COVID-19. It explains the adaptive trial design, examines 28-day mortality and considers the uncertainty about longer-term outcomes alongside other immunosuppressive treatments.
Practical perspectives on trauma care and team leadership.
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