Ketamine vs Etomidate for Intubating Critically Ill Adults: What Does the RSI Trial Tell Us?
RSI trial ketamine vs. etomidate. No difference in outcome. Both cause cardiovascular instability.
Emergency Medicine
Cough remedies: what actually works?
This is a festive break from my usual offerings on emergency toxicology, although you will note I lapsed a bit with dextromethorphan. My last post was on the SNAP regimen
Cough remedies: what actually works? Read More
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?
Make it SNAPpy! Paracetamol overdoses in teenagers Read More
Gastroenteritis in children: should we be sending them home with ondansetron?
Autumn is here, and winter is on its way. In children with gastroenteritis, should we be prescribing take-home doses of ondansetron?
Gastroenteritis in children: should we be sending them home with ondansetron? Read More
Design as repair: what Emergency Medicine can learn (and why it is so hard)
The NHS drowns in innovation whilst repair work goes unsupported. Why Bronson’s Design as Repair framework matters for emergency medicine.
Design as repair: what Emergency Medicine can learn (and why it is so hard) Read More
JC: Are we overtreating suspected sepsis with broad-spectrum antibiotics?
From St Emlyn’s journal club: are we overtreating sepsis? US study finds 87% received unnecessary or overly broad antibiotics in ED.
JC: Are we overtreating suspected sepsis with broad-spectrum antibiotics? Read More
Emergency Centre Thoracotomy in South Africa.
Can you perform a life-saving thoracotomy without ICU, theatre, or specialist staff?
A new study from Cape Town shows it’s possible — and often successful — even in district hospitals facing high trauma burdens.
Read our latest St Emlyn’s review 👇
#EmergencyMedicine #TraumaSurgery #FOAMed #GlobalHealth
Emergency Centre Thoracotomy in South Africa. Read More
Is there still room for compassion in emergency care?
Emergency care is more pressured than ever—but is compassion being lost in the chaos? This post explores the reality of compassion fatigue, the systemic and cultural barriers to empathy, and practical, evidence-based strategies to reconnect with patients in meaningful ways.
Is there still room for compassion in emergency care? Read More