Why do some bleeding trauma patients die after surviving the initial resuscitation? This 2019 discussion of an editorial by Karim Brohi and John Holcomb examines changing patterns of mortality, possible mechanisms of later deaths and the need to consider the whole trauma system.
JC: Why do bleeding trauma patients die? St Emlyn’s Read More
Rusty Carroll reflects on the eighteen months after completing therapy for PTSD. In this personal account, he describes returning to clinical work, rebuilding physical wellbeing and reconsidering professional identity, showing how recovery continued through everyday choices and a different relationship with work.
PTSD and me part 4: post therapy Read More
Explore the papers and resources Simon Carley selected for SASEM 2019 in Jeddah. This conference reading list brings together prehospital resuscitation, airway management, oxygen therapy, chest and head injury, cardiac arrest prognostication and the Zero Point Survey, with links to earlier critical appraisals.
#SASEM2019: Top 10+1 papers Read More
Can helicopter emergency medical services improve survival after traumatic cardiac arrest? This 2019 appraisal examines a retrospective UK cohort, distinguishing procedures and return of circulation from survival to hospital discharge, and questioning what a small, uncontrolled dataset can tell us about benefit.
JC: Can HEMS improve patient outcome in Traumatic Cardiac Arrest? St Emlyn’s Read More
Revisit a year of critical appraisal with the St Emlyn’s 2018 collection. This post introduces an ebook bringing together journal club discussions of prehospital, emergency and critical care research, with links to the book in several formats and to other St Emlyn’s publications.
St Emlyn’s 2018 Critical Appraisal book. Read More
Should adults receive midazolam or haloperidol before ketamine sedation in the ED? This 2019 trial appraisal weighs reduced agitation against longer recovery, examines the study’s size and outcome measures, and asks whether observed behaviour captures what matters to patients.
JC: Should we premedicate for ketamine sedation? St Emlyn’s Read More
Clare Richmond discusses continuing development in prehospital and resuscitation practice in this presentation recorded at St Emlyn’s Live 2018. The accompanying introduction describes her focus on principles, training and practice, with a recording for clinicians interested in developing themselves and their colleagues.
The Journey That Matters: Dr. Clare Richmond at #stemlynsLIVE Read More
This January 2019 update examines the November 2018 changes to the UK Green Book’s tetanus guidance. Chris Gray discusses wound classification, vaccination and immunoglobulin recommendations, then considers the evidence and unanswered questions behind those changes. It is a historical guideline discussion.
New Year, New Tetanus Guideline. St Emlyn’s Read More
