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 …
JC: Etomidate vs. Ketamine for emergency intubation. St Emlyn’s Read More »
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 …
What is the Bezold-Jarisch Reflex and why do I care?! St Emlyn’s Read More »
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 …
JC: Should we use calcium in out of hospital cardiac arrest? St Emlyn’s Read More »
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 …
JC: Are CT scanners getting more sensitive at detecting SAH? St Emlyn’s Read More »
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 …
JC: Re-evaluating risk factors for Cauda Equina. St Emlyn’s Read More »
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 …
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 …
JC: CTCA for cardiac chest pain in the ED. St Emlyn’s Read More »
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 …
JC: The BASICS trial. 0.9% saline vs balanced solution. Does it matter? Read More »
