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
The EVIDENCE trial asked if rapid transport with ongoing CPR improves survival in refractory out-of-hospital cardiac arrest. Results: no clear benefit over on-scene resuscitation.
This 2024 article reviews intercollegiate guidance on non-fatal strangulation in adults and adolescents. It covers assessment, red flags and imaging alongside safeguarding and sensitive communication, emphasising the importance of considering both physical injury and the patient’s continuing safety.
Non-fatal strangulation Read More
How well do MACS, T-MACS and HE-MACS perform in emergency department patients with suspected cardiac chest pain? This appraisal examines a systematic review of their diagnostic accuracy, differences between study populations and the importance of external validation, while acknowledging the St Emlyn’s team’s involvement in developing the scores.
Systematic review of the Manchester Acute Coronary Scores. Read More
In the second part of this podcast special, Iain and Simon discuss research on major haemorrhage, trauma and cardiac arrest. Papers include REBOA, cryoprecipitate, tranexamic acid and defibrillation strategies, with links to the studies and accompanying appraisals.
Podcast – Top papers 2023/24 – Part 2 Read More
What happens to older patients who spend the night in the emergency department awaiting a ward bed? This appraisal examines a prospective cohort study linking overnight ED stays with in-hospital mortality, while considering confounding and the importance of comfort and dignity.
Are long waits in A&E lethal for elderly patients? Read More
How do experienced prehospital clinicians decide when to give blood? This appraisal explores a qualitative study of physicians at two UK air ambulance services, examining the role of experience and uncertainty, and what these decisions can teach us about training and reflection.
Prehospital transfusion decision making Read More
Liz Crowe reflects on noise, constant stimulation and the difficulty of finding quiet in a busy life. She explores what silence can offer and suggests ways to make space for it, including small pauses during demanding clinical shifts.
The Science of Silence Read More
