How did sepsis guidance respond to ProMISe, ProCESS and ARISE? This 2015 commentary examines changes to the Surviving Sepsis Campaign care bundles, particularly the shift away from mandatory central venous targets, and considers the resulting choices around assessing circulation and response to treatment.
Sepsis 2015: EGDT without the “G”? Read More
A guide to the changes introduced in the 2015 APLS trauma update, with an accompanying podcast. Simon Carley discusses haemorrhage control, cervical spine management, vascular access, imaging and pain relief, alongside implications for instructors and areas where contemporary guidance differed.
New kids on the block. 2015 APLS trauma updates. Read More
Rick Body examines NICE’s 2014 recommendations on high-sensitivity troponin testing for early exclusion of NSTEMI. The article and podcast explain the guidance’s limited assay-specific scope, the distinction between excluding infarction and deciding on discharge, and the practical challenge of fitting repeat testing into emergency department workflows.
New NICE high sensitivity troponin guidance: 3 hours and done? Read More
A critical response to NICE’s 2014 acute heart failure guidance, questioning whether varied presentations can be treated as one condition. The author examines the evidence behind diuretics, nitrates and non-invasive ventilation, and argues for clearer definitions and research that better reflects the sickest emergency department patients.
A guide to the Royal College of Radiologists’ 2014 recommendations on imaging injured children. Natalie May explains why paediatric injury patterns and radiation concerns require a distinct approach, then works through the report’s advice by body region and the role of clinical assessment in deciding whether to image.
Imaging in Paediatric Trauma – Guide to the RCR Guidelines. St.Emlyn’s Read More
A contemporary review of NICE’s January 2014 head-injury guideline, CG176. The post explores what changed for emergency clinicians, including CT decisions in adults and children, anticoagulation, cervical spine imaging and discharge information, while discussing the evidence and uncertainties behind the recommendations.
JC: Updated NICE Head Injury Guidelines – Worth a Scan? Read More
A 2014 discussion of NICE guidance on intravenous fluids in adults, viewed from the emergency department. It explores assessment, prescribing, reassessment and staff training, while questioning how broad hospital guidance translates to the more individual decisions required during resuscitation.
Simon Carley reviews the 2013 ACC/AHA STEMI guidance from an emergency department perspective. The discussion focuses on access to PCI, cardiac arrest and cardiogenic shock, and the practical challenge of transferring critically ill patients safely to the catheter laboratory.
New STEMI Guidelines. St.Emlyn’s Read More
