A first look at the 65 trial as presented at Critical Care Reviews 2020. The review examines lower blood-pressure targets in older intensive care patients with vasodilatory hypotension, reduced vasopressor exposure and uncertainty around mortality, with a discussion of interpretation beyond statistical significance.
JC: The 65 trial. Targeting MAP in sepsis. St Emlyn's at #CCR20 Read More
The 2019–2020 St Emlyn’s journal club book brings together more than 30 critical appraisals, with links to downloadable editions. The introduction encourages readers to compare interpretations, revisit disputed studies such as CRASH-3 and use the collection to start evidence-based discussions with colleagues.
JC: Journal club book for 2019-2020 published. #FOAMed Read More
Why can a satisfying day of emergency procedures be a patient’s worst day? Simon Carley’s DFTB talk and accompanying reflection examine that tension, the motives behind interventions and the emotional support clinicians and learners need when a resuscitation becomes difficult or ends badly.
DFTB. The procedure paradox update. St Emlyn's Read More
An introduction to St Emlyn’s review of emergency care in the 2010s. It brings together reflections on diagnostics and advanced clinical practitioners, while outlining planned contributions on education, wellbeing, equity, training and the changing assumptions behind everyday practice.
A decade in review for Emergency Care. St Emlyn's Read More
The November 2019 podcast roundup, with links to the month’s articles. The written notes bring together CODA’s aims, paediatric intranasal analgesia, hindsight bias, REBOA and emergency medicine wellbeing resources, making it easier to find the accompanying reading.
Podcast – November 2019 Monthly Round Up Read More
A 2019 appraisal of rocuronium versus suxamethonium for prehospital rapid-sequence intubation. The review examines first-pass success, the interpretation of a non-inferiority trial and the limits of detecting rare complications, while considering how airway choices depend on the wider clinical setting and available resources.
JC: Rocuronium or Suxamethoniun for RSI. St Emlyn's Read More
A review of the first UK Resuscitology course in Manchester, using challenging cases to examine how teams think and act during resuscitation. The article introduces STEPS and GPAS analysis, connects them with the Zero Point Survey and shares visual summaries of the learning.
Resuscitology UK course review. St Emlyn's Read More
What does cardiac movement on ultrasound mean when no pulse can be felt? This 2019 review explores pseudo-PEA, its distinction from cardiac standstill and reported outcomes, while highlighting the limited evidence for proposed treatment changes and the need for further research.
JC: Pseudo PEA in the ED. St Emlyn's Read More
