In this March 2020 podcast, Roberto Cosentini shares experiences from Bergamo during Italy’s first COVID-19 surge. The accompanying notes highlight preparation, staff training, patient flow and psychological support, capturing lessons being shared while other emergency departments were still preparing for their first wave.
Podcast – Covid-19 in Italy with Roberto Cosentini Read More
Dan Horner reviews outpatient pulmonary embolism care in this article supporting his 2019 RCEM CPD talk. It examines patient selection, follow-up and British Thoracic Society guidance, alongside conflicting evidence about investigating suspected pulmonary embolism in pregnancy.
JC: Pulmonary embolism, ambulatory care and the goddess of the hunt Read More
Preparing a critically ill patient for transfer brings challenges that can be less obvious at the bedside. In this third Sydney HEMS reflection, Natalie May explores sedation, ventilation, physiological preparation and contingency planning through lessons from interhospital retrievals.
101 Reflective Lessons from a Year with Sydney HEMS. Part Three: Clinical Read More
What did the 2013 review of the Liverpool Care Pathway mean for emergency care? This reflection argues for individualised end-of-life care, conversations with patients and families, and honest discussion of uncertainty, rather than losing sight of comfort and dignity as the paperwork changes.
Road to… Nowhere? ED Implications of the Liverpool Care Pathway Review Read More
Could a small chest drain with a Heimlich valve allow selected patients with pneumothorax to receive outpatient care? This 2013 journal club examines a systematic review, weighing encouraging reports against variable study quality, limited randomised evidence and unanswered questions about patient selection.
JC: Should we use Heimlich Valves for ambulatory pneumothorax management? St. Emlyn’s Read More
