Tag: CAP18

JC: Hypothermia in brain injury: The POLAR trial. St Emlyn’s.

Paradoxically hypothermia has been a ‘hot’ topic in emergency medicine and critical care for many years. There is good laboratory, animal and pathophysiological data to suggest that it should be neuro-protective in a broad range

JC: One Too Many?

That your “drunk” patient with presumed alcohol intoxication is not simply drunk but in fact has a different, potentially life-threatening cause for their reduced conscious level is a lesson best learned early in the Emergency

How to manage your boss (the expert patient in the ED). St.Emlyn’s

This is another guest blog from our friend and colleague Andy Volans, Consutlant in Emergency Medicine.   We’ve all been subjected to the challenge of the “Expert Patient”. Our GP colleagues probably get it more

JC: Platelets for Intracranial Haemorrhage. St.Emlyn’s

The management of stroke is one of those topics that attracts a great deal of controversy in the #FOAMed world, and with good reason. The questions around the use of thrombolysis for acute cerebral infarction,

JC: Salt or Sugar? Hypertonic saline for head injury at St.Emlyn’s.

‘Why did you give Mannitol?’ asked the Registrar. ‘Hypertonic saline was the standard of care for head injury at St.Elsewhere and I was told it reduced mortality’. OK, so that’s a paraphrased recollection from some

Robocop gets the NICE 2016 major trauma treatment. St.Emlyn’s

Today, to much excitement, we saw the release of the NICE major trauma guidance.  Nat did an excellent review of the draft guidance, which you can read here.  We now have the full guideline which

JC: EuroTHERM or EuroBURNED. St.Emlyn’s

October has been a stellar month for publication of critical care trials in high impact journals. SPLIT, HEAT and FELLOW have already been FOAMed all over, but that left me with a still tempting choice

Neurocritical care in Manchester NASGBI and St.Emlyn’s

Neurocritical care debate, discussion and overall goodness this month, in the form of a conference. This time at least it’s local and the St Emlyns team are off to Manchester for the 50th Annual Scientific

Impact Brain Apnoea with Gareth Davies from London HEMS. St.Emlyn’s

I was recently discussing the management of traumatic cardiac arrest with one of my junior colleagues and was surprised to hear that they had not heard of impact brain apnoea as a cause of respiratory

JC: Progesterone’s pleiotropic failure in head injury. St.Emlyn’s

Pleiotropic might just be my favourite new word, thus overtaking November’s great word ‘Glyptotek’ (Danish for Sculpture museum). I digress. Pleiotropic is a word used to describe the ability of a gene to affect multiple


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