Does prehospital tranexamic acid improve neurological recovery after moderate or severe head injury? This September 2020 trial appraisal examines the absence of a clear primary-outcome benefit, missing follow-up data, injury severity and how the findings compare with CRASH-3.
JC: TXA in severe head injury. St Emlyn’s Read More
This introduction to St Emlyn’s 2018 wellbeing e-book brings together reflections on working in emergency and acute care. Edited by Simon Carley and Laura Howard, the collection draws on the team’s experiences of pressure, fatigue and balancing professional and personal lives, with self-care at its centre.
The Resuscitationist’s Guide to Health and Wellbeing. A St Emlyn’s e-book. Read More
Should clinicians unlock an unconscious patient’s phone to help identify them? This 2016 ethical and legal discussion explores the tension between useful clinical information, privacy and consent, using a hypothetical emergency department case to ask whether access is necessary and what remains uncertain.
Can you unlock your unconscious patient’s mobile phone with their thumb? St.Emlyn’s Read More
What happens to circulation when we give intravenous fluid, and how can we tell whether it has helped? This 2015 physiology review connects Frank–Starling and Guyton models with fluid responsiveness, examining the limitations of routine observations and the role of cardiac output assessment.
Maestrini, Frank, Starling, Guyton…….and Fluids at St.Emlyn’s Read More
