Can prehospital emergency anaesthesia improve survival after major trauma? This review examines a UK study using machine learning and causal modelling, with attention to patient selection, residual confounding and why an observational estimate is not definitive proof of benefit.
Survival effect of prehospital emergency anaesthesia in major trauma Read More
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.
JC: Rocuronium or Suxamethoniun for RSI. St Emlyn's Read More
Does a McGrath videolaryngoscope improve first-pass intubation compared with a Macintosh laryngoscope in prehospital care? This 2019 appraisal examines a randomised trial, including its early termination, crossover between devices and the limits of drawing a clear verdict from the results.
JC: Macintosh vs. McGrath laryngoscopy in pre-hospital care. Read More
Should ventilation continue between induction and laryngoscopy during rapid sequence intubation? This 2019 appraisal examines a randomised trial in critically ill adults, weighing oxygen desaturation and aspiration outcomes against differences in technique, preoxygenation and the applicability of ICU findings to emergency departments.
JC: Should we continue ventilations during RSI? St Emlyn’s Read More
Should adults receive midazolam or haloperidol before ketamine sedation in the ED? This 2019 trial appraisal weighs reduced agitation against longer recovery, examines the study’s size and outcome measures, and asks whether observed behaviour captures what matters to patients.
JC: Should we premedicate for ketamine sedation? St Emlyn’s Read More
Does cricoid pressure still have a place in rapid sequence induction? Simon Carley appraises a large 2018 randomised trial, weighing aspiration outcomes against difficulties with laryngoscopy. He also considers the limits of applying operating-theatre evidence to emergency department patients and groups excluded from the study.
JC: Cricoid Pressure and RSI, do we still need it? St Emlyn’s Read More
Which advanced airway strategy should come first in out-of-hospital cardiac arrest? This 2018 review compares AIRWAYS-2 and PART, examining supraglottic devices and tracheal intubation. It considers trial outcomes alongside operator experience, training and the practical realities of prehospital resuscitation.
JC: OOHCA and Airway management. Do we need a tube? St Emlyn’s Read More
The September 2018 podcast roundup revisits airway management after out-of-hospital cardiac arrest, the Zero Point Survey and pulmonary embolism. Its linked reading also covers neonatal emergencies, equality in emergency medicine and reports from EMS Gathering, ResusTO and EuSEM, bringing together the month’s clinical and professional discussions.
Podcast – September 2018 Monthly Round Up Read More
