Tag: dom3

JC: Etomidate vs. Ketamine for emergency intubation. St Emlyn’s

Just a quick review this week as this is a paper published back in December that has been superbly reviewed already over on the SGEM. However, it’s an interesting topic and one that has been

Bezold Jarisch

What is the Bezold-Jarisch Reflex and why do I care?! St Emlyn’s

Bradycardia in the trauma patient can be a perilous sign. One might observe a typical course of events in which a bleeding trauma patient progresses through the compensatory mechanisms in response to shock. It is

JC: Should we use calcium in out of hospital cardiac arrest? St Emlyn’s

A trial published in JAMA asks exactly this question, the full text can be found here. The abstract is below, but as we always say, please read the full paper yourself. Previous studies have shown

JC: Are CT scanners getting more sensitive at detecting SAH? St Emlyn’s

JC: Are CT scanners getting more sensitive at detecting SAH? St Emlyn’s

There is no doubt that sub-arachnoid haemorrhage is an important diagnosis in the emergency department. It is arguably especially important in the cohort of patients who present with lesser signs/symptoms as they are the group

Cauda Equina

JC: Re-evaluating risk factors for Cauda Equina. St Emlyn’s

The diagnosis of cauda equina in the emergency department is complex and has the potential for significant patient harm if we get it wrong. Linda Dykes put together an excellent infographic on this back in

JC: The REST trial. St Emlyn’s

Some years ago I remember speaking to a rather well known intensivist who was advocating for the extracorporeal removal of CO2 in ICU patients. His logic was that in patients with hypoxic lung failure we


JC: CTCA for cardiac chest pain in the ED. St Emlyn’s

Computed Coronary Angiography (CTCA) has been advocated as a useful adjunct in the investigation of acute coronary syndromes (ACS) in the ED. Although we’ve made huge progress in the diagnosis of ACS through the use

JC: The BASICS trial. 0.9% saline vs balanced solution. Does it matter?

I’ll admit that my long term clinical practice has been to prefer balanced solutions (in my case Hartmans) over 0.9% saline in the management of the critically ill patient. It’s a topic we’ve blogged and

JC: Thromboprophylaxis for the non ICU hospitalised COVID-19 patient. St Emlyn’s

Back in March we reported on a pre-print trial of thromboprophylaxis of ICU patients. The results suggested that there was no benefit for therapeutic dose anticoagulation in COVID19 as a prophylactic strategy for critically ill patients with COVID19. This

targeted temperature management

JC: The TTM2 trial. Normothermia or hypothermia post cardiac arrest.

A quick update on an TTM2 trial published in the NEJM last month. As part of the chain of survival it’s important to optimise the post resuscitation phase, primarily to preserve neurological function as this