A London Air Ambulance cohort study explores partial REBOA for trauma patients with life-threatening bleeding and recent or imminent cardiac arrest. This appraisal considers feasibility, survival and patient selection, alongside the limits of a small observational study and the training and systems needed to deliver the technique.
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
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
Measles is a highly contagious viral disease making a resurgence due to declining vaccination rates. It presents with initial symptoms like high fever and coryza, followed by a rash. Rapid isolation and appropriate use of PPE are critical for suspected cases.
Measles – An Ancient Foe in Modern Times Read More
This JC from St Emlyn’s looks at a paper from SJTRM and explores the association between first-pass success (FPS) during pre-hospital intubation and 30-day mortality in patients treated by Finnish helicopter emergency medical services (HEMS).
Is First Pass Success an important outcome in PHEA research? Read More
Review of an RCT of serratus anterior plane blocks in the emergency department for chest/rib injury. Is this now a standard of care?
Serratus Anterior Plane Blocks for rib fractures in the Emergency Department Read More
Should patients with restored circulation after cardiac arrest bypass their nearest hospital for a specialist centre? This appraisal of the ARREST trial examines patients without ST elevation, the lack of a survival benefit and the limits of applying London’s results elsewhere.
The ARREST trial. Does bypass to cardiac arrest centres save lives? Read More
What does the PATCH trial tell us about tranexamic acid in major trauma? This appraisal examines the distinction between survival and favourable functional recovery at six months, and why the choice of outcome matters when interpreting the trial.
The PATCH trial. TXA in major trauma Read More
