Writing as 2020 began, Rusty Carroll reflects on the growth of advanced clinical practitioners from a paramedic background. He discusses education, credentialing and the four pillars of advanced practice, alongside professional trust and the evolving place of these roles in emergency care teams.
The November 2019 podcast roundup, with links to the month's articles. The written notes bring together CODA's aims, paediatric intranasal analgesia, hindsight bias, REBOA and emergency medicine wellbeing resources, making it easier to find the accompanying reading.
A 2019 appraisal of rocuronium versus suxamethonium for prehospital rapid-sequence intubation. The review examines first-pass success, the interpretation of a non-inferiority trial and the limits of detecting rare complications, while considering how airway choices depend on the wider clinical setting and available resources.
A review of the first UK Resuscitology course in Manchester, using challenging cases to examine how teams think and act during resuscitation. The article introduces STEPS and GPAS analysis, connects them with the Zero Point Survey and shares visual summaries of the learning.
Conference ReportsCritical Care
Highlights from the prehospital day of the 2019 London Trauma Conference. The report covers cardiac arrest decisions, access to defibrillation, vascular access, major incident response and obstetric emergencies, alongside practical discussion of communication and cognitive overload in pressured environments.
The final day of the 2019 Intensive Care Society State of the Art meeting, with discussions of cardiogenic shock services, sepsis treatment debates and recovery after critical illness. The report also explores blood cultures, oxygen exposure and the challenges of interpreting emerging research.
Practical perspectives on trauma care and team leadership.
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