A Dutch randomised trial tests extracorporeal cardiopulmonary resuscitation for refractory out-of-hospital cardiac arrest. This appraisal examines survival with favourable neurological outcomes, patient selection and delays to treatment, asking how much the result reflects the system delivering ECPR.
ECPR for refractory cardiac arrest Read More
Simon and Iain bring together the St Emlyn’s blog and podcast from November and December 2022 in a combined monthly round-up, revisiting the site’s end-of-year content.
Podcast – November/December 2022 Monthly Round Up Read More
A look back at the October 2022 St Emlyn’s blog and podcast, including patient flow and complex decision-making. This short post introduces the month’s round-up episode.
Podcast – October 2022 Monthly Round Up Read More
A December 2022 appraisal of RECOVERY preprint results comparing higher-dose steroids with usual care in hospitalised COVID-19 patients receiving simple oxygen or none. It examines the mortality harm signal, early stopping and why these findings did not cover patients receiving ventilatory support.
High dose vs. Low dose steroids in hospitalised COVID 19 patients. St Emlyn’s. Read More
Simon and Iain look back over September 2022 in this monthly St Emlyn’s podcast round-up.
Podcast – September 2022 Monthly Round Up Read More
Trauma research selected for the 2022 EuSEM conference in Berlin. Simon Carley reviews papers on prehospital blood products, chest injuries, tranexamic acid, extrication and resuscitative thoracotomy, weighing their limitations and possible implications for practice.
Top trauma papers for #EuSEM22 Read More
A 2022 journal club on the FAKT trial of fentanyl during rapid sequence intubation with ketamine and rocuronium. It separates the primary blood-pressure outcome from secondary findings and considers how patient selection and drug timing affect interpretation.
JC: Fentanyl as an adjunct in RSI. Does it affect haemodynamic stability? St Emlyn’s Read More
Can head-up positioning combined with mechanical CPR and an impedance threshold device improve cardiac arrest outcomes? This 2022 appraisal examines an observational comparison, explaining why differences between cohorts and exploratory analyses limit the conclusions it can support.
