Does apnoeic oxygenation help during emergency department intubation? This appraisal of the 2017 ENDAO trial questions whether average oxygen saturation captures the outcome that matters, examining exclusions, sample size and the uncertainty around patients most likely to desaturate.
JC: Apnoeic Oxygenation (again) Read More
Natalie May continues her reflections on a year with Sydney HEMS, focusing on paediatric retrieval, drowning and airway care. These personal clinical lessons explore equipment, communication and the compromises involved in delivering critical care outside the hospital.
101 Reflective Lessons from a Year with Sydney HEMS. Part Four: More Clinical Read More
Moving a critically ill patient from the ED can be a high-risk part of their care. Natalie May and Simon Carley’s podcast notes explore patient preparation, equipment, team selection and handover, with contingency plans for delays, deterioration and airway problems.
The Emergency Department Transfer: Patient, Preparation and People. St.Emlyn’s Read More
A participant’s report from the airway masterclass at SMACC Dublin in 2016, covering intubation, surgical airway practice, nasendoscopy and scenario simulation. The account emphasises rehearsal, teamwork and shared understanding alongside the technical skills, with links to further teaching resources.
#smaccAIRWAY – Airway Masterclass at #smaccDUB Read More
Does apnoeic oxygenation reduce desaturation during intubation of critically ill adults? This 2015 appraisal of the FELLOW trial examines its ICU population, oxygen-saturation outcomes and methodological limitations, asking how far the findings can be applied to emergency department airway practice.
JC: The last breath for apnoeic oxygenation? Read More
Do we judge evidence for a new device differently from evidence for a new drug? Following a 2013 debate about video laryngoscopy, this reflection examines enthusiasm, prior beliefs and patient outcomes, arguing for consistent standards when assessing clinical technologies.
JC: If the Video Laryngoscope was stroke thrombolysis……. St.Emlyn’s Read More
Could etomidate offer an alternative for short paediatric procedures? This 2012 appraisal examines a small prospective cohort, questioning patient selection, the absence of a comparison group and the variability in sedation depth and recovery time behind apparently high procedural success.
Etomidate for Paediatric Sedation Read More
