Tag: HMP4
JC: Effect of Ascorbic Acid, Corticosteroids, and Thiamine on Organ Injury in Septic Shock. The ACTS Randomized Clinical Trial St Emlyn’s
Back in 2017 the sepsis world had a rather strong reaction to a paper published by Paul Marik that suggested that a combination of steroid, vitamin C and Thiamine could cure sepsis. The data, published …
JC: Halt! It’s not time for TXA! Or is it? HALT-IT results at St Emlyn’s
If you’re any kind of emergency care aficionado, you probably worship at the altar of tranexamic acid (TXA). With data showing more favourable outcomes from its use in traumatic bleeding(1), post-partum haemorrhage(2), maybe traumatic brain …
COVID-19: Journal Club #3 – The Webinar
Welcome to our third webinar and journal club reviewing recent research and featuring COVID-19 updates, hosted by the University of Manchester, Manchester Royal Infirmary and Royal College of Emergency Medicine in collaboration with St Emlyn’s. …
COVID-19 Journal Club: The Director’s Cut #2
References Gattinoni, L., Chiumello, D., Caironi, P., Busana, M., Romitti, F., Brazzi, L. and Camporota, L., 2020. COVID-19 pneumonia: different respiratory treatments for different phenotypes?. Intensive Care Medicine, p.1. Giannakeas, V., Bhatia, D., Warkentin, M.T., Bogoch, …
JC: Critical Care Reviews day 2. #CCR20. St Emlyn's
In addition to the presentation of the VITAMINS trial and the PEPTIC trial we also saw a number of other papers presented. These are listed below, but have not been fully critically appraised. We’ll leave …
JC: The Vitamins trial. Hydrocortisone, Vit C and Thiamine (Marik protocol – or not?) in sepsis. St Emlyn's
You may remember the controversy about Paul Marik’s suggestions that a combination of Vitamin C, steroids and Thiamine (sometimes known as HAT1) is a cure all for sepsis. There were some rather dramatic claims that …
Resuscitology UK course review. St Emlyn's
This week we ran the inaugural Resuscitology UK course here in Virchester (Ed – everyone knows you mean Manchester 😉 ). Resuscitology UK aims to improve the way we think about resuscitation practice through case …
The UK Resuscitationist from #stemlynsLIVE with Dan Horner. St Emlyn’s
So Dan – we want you to give this talk – about a job. A job that doesn’t exist. Or maybe it’s a thing – but we’re not sure what that is. Or maybe it’s …
New Zero Point Survey Video from Cliff Reid. St Emlyn’s
We’ve championed the Zero Point Survey (1,2,3,4) here on the blog and in all our simulation teaching in Virchester. If you’ve been following the blog you will hopefully be familiar with the STEPUP system of …
JC: Lower GI bleeding guidance. St Emlyn’s
The management of the patient with apparent lower GI (gastro-intestinal) bleeding is, in my experience at least, somewhat variable. Unlike upper GI bleeding where the standards and expectations are reasonably well known1,2, the lower GI …