JC The end of the road for colloids in sepsis??? St.Emlyn’s

Are colloids more effective than crystalloids in reducing death in people who are critically ill or injured? Updated Perel P, Roberts I, Ker K Published Online: February 28, 2013 So it looks as though Cochrane

Paediatric Arrest: But What About the Parents?

“Standby call please: 19 month old male, cardiac arrest…”   They are the words I half expect whenever the red phone rings between 6 and 7am, words which strike both fear and dread into the

Emergency Medicine, a risky business Part 5. Does a correct diagnosis mean that the therapy will work?

Emergency Medicine: A risky business part 5. Does a correct diagnosis mean that the therapy will work? In the previous post in this series around diagnostics we have looked at how the performance of most

Perimortem C-section at St.Emlyn’s

There are a few blog posts that seem to stick in the mind more than others, and certainly ones that I direct colleagues back to on a regular basis. One of these for me (and

Teamwork in Resus: Just Like Football?

A few weeks ago I was reading the most excellent Resus Room Management blog.  It’s seriously awesome and you should check it out.  [I’ve decided that all this social media engagement has made me sound

Case of the week: Oedipism at St.Emlyn’s

This case from Virchester is not one to read if you are of a nervous disposition. As always the case is hypothetical to illustrate the learning points (see note below on St.Emlyn’s cases). The case.

JC: Milk for refractory migraines?

Every day is a school day in Virchester! When you thought you had heard everything about Propofol with recent media cover over the unfortunate event involving a pop star, a paper from Iran suggest that

New Surviving Sepsis Guidelines – What’s new? St.Emlyn’s

After much anticipation the new surviving sepsis guidelines have been published in critical care medicine. There will no doubt be much conversation, debate and discussion about this in the coming weeks and I’ll bet Scott

Can you get the doctors to work faster!!! St.Emlyn’s

You get an email from Sister Astir….   ‘Hi Simon, You need to have a word with Dr Dawdling please. He hardly saw any patients yesterday and there was a massive wait in minors. The

PACE with @HarrisCPD

        Just a quick blog post today with a link out to a great #FOAMing pre-hospital paramedic. It was a delight to share thoughts on graded assertiveness with Matthew. We  looked at


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