Contrast Induced Nephropathy – sense at last.
New guidelines from @RCollEM and @RCRadiologists finally agree that contrast CT should not be delayed in the critically ill/injured #FOAMed
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Packers, Pushers and Stuffers – Drug Concealment in the ED
Although these terms may be heard more often in a Build-a-Bear factory or a kitchen at Christmas than a Emergency Department, it doesn’t mean they’re any less relevant. What on earth
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A refresher on blood transfusion in trauma
Transfusion in trauma has evolved at a rapid pace over the last decade and it can be hard to keep up with the latest evidence. I also find it useful to think about the story of how the science has developed to lead us to our current practice. The purpose of this post is to provide a narrative of how we have arrived at the contemporary approach to transfusion in trauma.
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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
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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
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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
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Are CT scanners getting more sensitive at detecting Subarachnoid haemorrhage?
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
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Re-evaluating risk factors for Cauda Equina
The diagnosis of cauda equina syndrome in the emergency department is complex and has the potential for significant patient harm if we get it wrong. Linda Dykes put together an
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