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.
Rusty Carroll reflects on moving into a leadership role as an advanced clinical practitioner. The post explores prioritisation, breaking work into manageable tasks, building trust, delegation and humility, with lessons intended for colleagues across professional backgrounds.
Recordings and commentary from SASEM 2022 on evidence for emergency airway management, including cardiac arrest, video laryngoscopy and surgical airways. The post also includes talks on research from 2021 and troponin-based assessment of possible myocardial infarction.
Conference ReportsCritical Care
Simon Carley's SASEM 2022 talk challenges familiar assumptions in resuscitation. The accompanying post explores airway management, chest drainage, calcium, transfusion and team behaviour, asking whether procedures are driven by patient need or clinicians' habits and preferences.
A 2022 review of Essex and Herts Air Ambulance's six-year experience with resuscitative thoracotomy. It considers outcomes after blunt and penetrating trauma, patient selection, timing and the training, governance and transport arrangements needed to support the procedure.
Practical perspectives on trauma care and team leadership.
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