The final day of the Intensive Care Society’s 2018 meeting brought together research updates and questions about the outcomes patients value. This report covers frailty, predictive technology, delirium and organ donation, alongside reflections on careful clinical care and the limits of simple solutions.
#ICSSOA2018 Day 3. St Emlyn’s on tour Read More
Day two of the Intensive Care Society’s 2018 meeting ranged from research and radiology to debates about liver failure and airway management. The report also explores nutrition, the timing of renal replacement therapy and how simulation and new technology might support learning.
#ICSSOA2018 DAY 2. St Emlyn’s on tour Read More
What makes a clinical handover work when a critically ill patient arrives? Drawing on a 2018 Intensive Care Society presentation, this post explores preparation, team attention, structured communication and follow-up. It offers adaptable principles for sharing essential information while recognising that urgent treatment sometimes takes priority.
Handover. Process, practice and controversy. #ICSSOA2018. St Emlyn’s Read More
The opening day of the Intensive Care Society’s 2018 meeting covered sepsis, moral injury and the response to the Salisbury Novichok incident. This report also follows discussions of delirium, extubation and frailty, including how patients’ goals can shape decisions about critical care.
St Emlyns on tour: ICSSOA2018. Monday. Read More
Can some traumatic pneumothoraces and haemothoraces be managed without a chest drain? This 2018 appraisal examines a UK observational study, including patients receiving positive-pressure ventilation. It considers selection bias, the limits of a single-centre dataset and the importance of monitoring when conservative management is chosen.
JC: Conservative management of chest trauma. St Emlyn’s Read More
When does belonging to a specialty become a barrier to working together? Based on an EMTA 2018 presentation, this post explores tribalism, stereotypes and how we interpret colleagues’ actions. It suggests practical ways to build relationships across teams and return difficult conversations to a shared concern for patients.
Breaking down tribalism. #onetribeEMTA St Emlyn’s Read More
Salim Rezaie’s St Emlyn’s Live 2018 presentation explores cognitive offloading during cardiac arrest care. The accompanying notes discuss CPR, vascular access, airway management, medication and PEA assessment, explicitly bringing together published evidence and ideas for consideration. This is a historical presentation rather than an updated resuscitation guideline.
Beyond A(C)LS. Salim Rezaie at #stemlynsLIVE Read More
Natalie May’s third report from the 2018 FemInEM Ideas Exchange explores who feels able to belong in medicine. Talks address bullying, LGBTQ inclusion, disability, access to medical careers and family leave, alongside reflections on palliative care and the everyday work of changing workplace culture.
A FeminEM in NYC – Reflections from #FIX18 Part Three Read More
