How can teams rehearse a new clinical pathway without a mannequin or simulated casualty? This February 2020 introduction to Practical Exercises Without Casualties uses a suspected coronavirus scenario to explore in-situ planning, communication and decision-making, with prompts that can be adapted to other situations.
PEWCs: Sim training for coronavirus (and more). St Emlyn’s Read More
The January 2020 blog roundup from Iain and Simon. The episode notes link to early coronavirus coverage, ultrasound-guided vascular access, the Critical Care Reviews trials and reflections on diagnostics, learning and the changing emergency care workforce.
Podcast – January 2020 Monthly Round Up Read More
Could selected patients with a spontaneous pneumothorax avoid a chest drain? This 2020 appraisal examines a conservative-management trial, its missing follow-up data, non-inferiority margin and applicability to everyday practice, alongside the trial authors’ challenge to the reviewer’s cautious interpretation.
JC: Conservative management of pneumothoraces. Read More
A review of the January 2020 interim BSPED guidance on diabetic ketoacidosis in children and young people. Chris Gray explains changes to diagnosis, severity assessment, fluids, potassium and insulin, alongside the evidence and practical questions raised by that edition of the guidance.
JC: D-K-hoorAy! New Paeds DKA guidelines Read More
Ashley Liebig’s January 2020 introduction to the novel coronavirus outbreak, written as cases began appearing beyond China. The article records the early questions facing clinicians and the information available at that point, offering a historical snapshot rather than an up-to-date account of COVID-19.
2019 Novel Coronavirus (Wuhan) at St Emlyn’s Read More
Do longer ultrasound-guided peripheral cannulas last longer in patients with difficult intravenous access? This randomised-trial appraisal explores catheter survival, insertion success and the amount of catheter within the vein, while distinguishing longer peripheral cannulas from midlines and considering the study’s protocol limitations.
JC: Long lines for USS guided peripheral IVs. St Emlyn's Read More
Our regular round up of the best of the blog from December 2019. Published a little late, largely because of Coronavirus issues and general business. vb S
Podcast – December 2019 Monthly Round Up Read More
A 2020 appraisal of PEPTIC, comparing proton pump inhibitors with H2 receptor blockers for stress-ulcer prophylaxis in intensive care. The review examines mortality and gastrointestinal bleeding outcomes, treatment crossover and competing interpretations of a large pragmatic trial whose clinical implications were debated.
JC: The PEPTIC study PPI vs H2RBs on the ICU. St Emlyn's Read More
