TBS 2026: Best Intensive Care Medicine Papers
A focused review of the most important intensive care medicine papers from 2025–2026, discussed at The Big Sick conference. TBS @stemlyns
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TBS 2026: Best Emergency Medicine Papers
Emergency medicine research rarely provides certainty, but it can guide decisions. At The Big Sick (TBS) conference 2026, we presented papers challenging assumptions around trauma, airway management, resuscitation systems and rare high-stakes decisions. This post reviews the best emergency medicine papers from 2025–2026, focusing on what they mean for clinicians working at the front door.
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TBS 2026: Key Prehospital Emergency Medicine papers
A critical review of the most important prehospital emergency medicine papers from 2026, covering RSI, oxygen therapy, ECPR, thoracotomy and trauma access. From the TBS conference in Zermatt.
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Your Patient Already Asked ChatGPT
Patients are consulting AI more and more before attending ED. What does the research say, and how should clinicians respond? Some great advice on what to do when this happens.
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Is post-induction hypotension harmful in traumatic brain injury?
How bad is hypotension in TBI? What’s the real world impact in a high quality PHEM service.
Rich Carden reviews a recent paper that helps us understand the impact. #FOAMed @stemlyns
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Make it SNAPpy! Paracetamol overdoses in teenagers
Paracetamol poisoning is an uncommon, but not rare, event in children. The treatment of choice is NAC. Should we be giving them the SNAP protocol?
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Factors in the Initial Resuscitation of Patients With Severe Trauma – The FiiRST-2 Trial
The FiiRST-2 randomised trial compared fibrinogen and prothrombin complex concentrate with plasma in trauma patients needing massive transfusion. No significant benefit was found.
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JC: Ketamine or Midazolam as first choice for Paediatric Status Epilepticus? St Emlyn’s
Background Paediatric generalised convulsive status epilepticus (GCSE) are some thing we see a fair amount of in Virchester. Many are a result of febrile seizures, but as we are a
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