What makes a resuscitationist beyond technical skill? Dan Horner’s talk and accompanying reflection explore clinical judgement, team leadership, communication and the systems that support resuscitation, including the difficult decisions about when treatment may no longer help.
The UK Resuscitationist from #stemlynsLIVE with Dan Horner. St Emlyn’s Read More
Cliff Reid demonstrates the Zero Point Survey in a video showing its use in prehospital and hospital settings. The post introduces the STEPUP framework as a structured approach to preparing for and beginning the care of critically ill patients.
New Zero Point Survey Video from Cliff Reid. St Emlyn’s Read More
This appraisal examines 2019 guidance on acute lower gastrointestinal bleeding, including risk assessment, investigation and referral. It considers the strength of the supporting evidence and how access to endoscopy and interventional radiology affects the application of recommendations in emergency care.
JC: Lower GI bleeding guidance Read More
Some clinical events stay with emergency physicians long after a shift ends. Laura Howard describes a qualitative interview study exploring those experiences, their effects on sleep and life outside work, and the questions they raise about preparation, support and recovery.
JC: How events in emergency medicine impact doctors psychological well-being. St Emlyn’s Read More
What can an animal study tell us about chest compressions in traumatic cardiac arrest? This 2019 appraisal examines a haemorrhage model in pigs, the role of blood resuscitation and the substantial limits of applying those findings to patients with different causes of arrest.
Should we use chest compressions in traumatic cardiac arrest? Read More
George Willis discusses aortic emergencies in this recording from the inaugural St Emlyn’s Live conference in 2018. The introduction highlights diagnosis, medical management and pericardial effusion, with video, audio and further reading linked from the post.
Aortic Emergencies with George Willis at #stemlynsLIVE Read More
Does a trauma registry study justify abandoning REBOA? Zaf Qasim examines a 2019 comparison with standard care, considering reported mortality and complications, patient selection, missing procedural details and delays to definitive treatment before drawing conclusions about the technique.
JC: Time to put the REBOA balloon away? Maybe, maybe not… Read More
Fluids are drugs, with potential benefits and harms. Simon Carley examines a 2018 narrative review of intravenous fluids in critically ill adults, covering fluid choice, shock phases and evolving physiology. He also asks how to read expert reviews critically and remain open to evidence that challenges established practice.
JC: Intravenous fluid therapy in critically ill adults (review). St Emlyn’s Read More
