Natalie May shares notes from day two of the 2021 Paediatric Emergencies Colloquium. The sessions cover paediatric pain management and sedation, acute respiratory distress syndrome and toxicology, combining conference learning with her own clinical reflections.
How reliably do symptoms and examination findings identify cauda equina compression? This 2021 appraisal reviews a retrospective MRI cohort, questioning the diagnostic value of digital rectal examination while explaining why individual findings and a single-centre study cannot safely settle the diagnosis.
Paediatric dental trauma, metabolic emergencies and vaping feature in Natalie May's notes from day one of the 2021 Paediatric Emergencies Colloquium. She draws out practical learning points from the virtual meeting and reflects on their relevance to emergency care.
Does extracorporeal carbon dioxide removal make lower-volume ventilation safer or more effective? This 2021 review of the REST trial examines 90-day mortality, adverse events and the uncertainty left by early stopping in patients with acute hypoxaemic respiratory failure.
A 2021 appraisal of early CT coronary angiography for patients with suspected acute coronary syndrome. It examines a UK randomised trial's patient outcomes, use of invasive angiography and limitations, asking whether routine CTCA is justified in this selected population.
Iain and Simon's August 2021 podcast round-up revisits highlights from the blog. The linked notes cover the RECOVERY-RS respiratory-support trial, therapeutic anticoagulation in hospitalised COVID-19 patients and findings from the 2020 emergency medicine trainees' survey.