Latest posts

Does fluid choice affect outcomes in intensive care? This 2021 appraisal of BaSICS compares Plasma-Lyte with 0.9% saline, examining 90-day mortality, infusion rates and subgroup findings while cautioning against generalising to every balanced solution or patient setting.

An August 2021 appraisal of the RECOVERY-RS preprint comparing CPAP, high-flow nasal oxygen and conventional oxygen for COVID-19 respiratory failure. It separates the findings on intubation from those on mortality and examines early stopping, crossover and possible treatment-decision bias.

What did emergency medicine trainees report in the 2020 EMTA survey? This review examines flexible working, protected development time, fatigue and bullying, alongside effective supervision and training opportunities, and asks departments to turn the findings into action.

A podcast round-up of the St Emlyn's blog from June and July 2021. The linked reading spans thunderstorm asthma, COVID-19 treatment trials, ultrasound in shock, post-arrest temperature management and equitable publishing, alongside education, research careers and medical fiction.

An August 2021 appraisal of therapeutic-dose heparin in hospitalised COVID-19 patients without ICU-level organ support. It examines the multiplatform trial's benefits, bleeding-risk exclusions and composite outcome, and explains why these findings differ from those in critically ill patients.

Does cooling to 33°C improve outcomes after out-of-hospital cardiac arrest? This 2021 review of TTM2 compares hypothermia with actively managed normothermia, examining survival, neurological outcomes, adverse events and why fever control should not be confused with leaving temperature unmanaged.