The 200th St Emlyn's podcast looks back at February 2022. Iain and Simon discuss resuscitation myths, airway management, resuscitative thoracotomy, advanced clinical practitioners and setting future research priorities.
A 2022 appraisal of RePHILL, comparing prehospital packed red cells and freeze-dried plasma with saline for traumatic haemorrhagic shock. It examines the neutral trial result, composite outcomes and patient selection, and asks what questions remain about prehospital transfusion.
Simon and Natalie discuss the principles of feedback and the difficulties of conversations between clinical departments. This podcast considers feedback in education and clinical practice, with reference to Stone and Heen's book Thanks for the Feedback.
Journal ClubEmergency Department Management
A 2022 journal club on the association between delays to hospital admission from the emergency department and 30-day mortality. The review examines a large English dataset, unmeasured illness severity and the limits of drawing causal conclusions from observational evidence.
Could adjusting D-dimer thresholds to clinical probability reduce ultrasound use for suspected DVT? This 2022 appraisal of the Canadian 4D study examines diagnostic safety, excluded patient groups and the challenges of transferring its algorithm into UK pathways.
Iain and Simon review January 2022 on the St Emlyn's blog. This monthly podcast brings together critical appraisal, a discussion of 'ECG thrusting' and the complex physiology featured that month.
Practical perspectives on trauma care and team leadership.
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