CC12 Archives • St.Emlyn's

On-Scene: Taking ECPR to the patient. A game changer for refractory cardiac arrest?

By Halden Hutchinson-Bazely / November 9, 2026

The On-Scene study reports almost double the survival to hospital discharge in selected patients with refractory out-of-hospital cardiac arrest treated within a prehospital ECPR-capable system. With survival of 40% versus 20%, and substantially shorter times to extracorporeal circulation, could bringing ECMO to the patient transform cardiac arrest care? We examine the findings, limitations and implications for emergency medicine, HEMS and future resuscitation systems.

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$Does the outcome from refractory VF differ from recurrent VF in the DOSEVF trial?$

Does the outcome from refractory VF differ from recurrent VF in DOSE-VF patients?

By Simon Carley / June 14, 2024

Is persistent ventricular fibrillation the same as a rhythm that returns after a successful shock? This appraisal examines a secondary analysis of DOSE-VF, comparing outcomes in shock-refractory and recurrent VF and considering the implications for defibrillation strategy.

Does the outcome from refractory VF differ from recurrent VF in DOSE-VF patients? Read More

DFTB. The procedure paradox update. St Emlyn's

By Simon Carley / January 5, 2020

Why can a satisfying day of emergency procedures be a patient’s worst day? Simon Carley’s DFTB talk and accompanying reflection examine that tension, the motives behind interventions and the emotional support clinicians and learners need when a resuscitation becomes difficult or ends badly.

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The great day paradox. St.Emlyn’s

By Simon Carley / July 17, 2019

A satisfying day in emergency medicine may be the worst day of a patient’s life. Simon Carley explores this tension, asking how enthusiasm for procedures and clinical challenges can coexist with empathy, thoughtful decisions and attention to what the patient needs.

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A FeminEM in NYC – Reflections from #FIX18 Part Three

By Natalie May / November 20, 2018

Natalie May’s third report from the 2018 FemInEM Ideas Exchange explores who feels able to belong in medicine. Talks address bullying, LGBTQ inclusion, disability, access to medical careers and family leave, alongside reflections on palliative care and the everyday work of changing workplace culture.

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A FeminEM in NYC – Reflections from #FIX18 Part Two

By Natalie May / November 2, 2018

Natalie May continues her reflections from the 2018 FemInEM Ideas Exchange in New York. This instalment explores leadership, negotiation and gender equity, including listening to different perspectives, supporting effective teams and finding the courage to influence change within healthcare organisations.

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A FeminEM in NYC – Reflections from #FIX18 Part One

By Natalie May / October 25, 2018

Natalie May shares learning from the opening sessions of the 2018 FemInEM Ideas Exchange. Her reflections connect gender equity, racial and gender bias, uncertainty and the human experience of being a doctor, asking how listening to different stories can challenge assumptions and support more inclusive workplaces.

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Lessons Learned at #EMSA18

By Natalie May / August 5, 2018

What stays with clinicians after a lesson learned the hard way? Natalie May reflects on an EMSA 2018 session covering handover, prehospital priorities, career values and preparation. Her own contribution examines implicit bias, privilege and the need to understand a patient’s perspective rather than assume it matches our own.

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