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Tag: resuscitation

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New NICE guidance on intravenous fluid therapy for adults in hospital: how is this relevant to EM?

  The National Institute for Health and Care Excellence (NICE) has recently issued new guidance on the use of intravenous fluids in adult patients. For those clinicians not familiar with it, NICE is the UK-based

JC: Family presence for Brain Death Evaluation. St.Emlyn’s

Here in Virchester we believe that families are important. Natalie has written before about the benefits of family presence during paediatric resuscitation and it’s pretty much standard practice in both our virtual paeds and adult

JC: There’s no jump with a precordial thump. St.Emlyn’s

Sometimes you just feel like a bit of a fool. Like today when I wrote the post below and then asked Dr May to have a look at it. Can you guess her response? You

JC: What’s the target temperature for OOHCA cooling. St.Emlyn’s

Many thanks to the twitter FOAMites for alerting us to an online first paper in the NEJM on the use of therapeutic hypothermia post cardiac arrest. If you’ve followed St.Emlyn’s for any time then you

PCI for OOHCA with NSTEMI post ROSC? An acronym too far?

So you’ve done it. In a dazzling display of medical prowess worthy of a medical TV drama you have restored the dead to life! With scrupulous airway management, high quality chest compressions (assisted by some waveform

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JC: PROMMT Pre-hospital fluids for trauma – do they improve survival?

If you’ve read St.Emlyn’s before you will know that we adore any papers that challenge dogma and so it is that this week I came across this paper in the Journal of Trauma and Acute

Children are just little adults. SMACC2013. St.Emlyn’s

Here at St.Emlyn’s we like a bit of #dogmalysis. We like to challenge established thinking and perhaps to look again at what we all know to be true. One such dogma is that ‘Children are

It’s Good to Talk – Debrief in the Emergency Department

There is so much I could write about the role and value of our own humanity in the Emergency Department although much of it has been said before by people far wiser than me. But

JC: Delta signs for shock trauma. St.Emlyn’s

I recently had a bit of fun at the Telford trauma conference talking about the top 10 papers of 2012 and in passing mentioned the #dogmalysis of ATLS shock categories published in Resuscitation last year

JC The end of the road for colloids in sepsis??? St.Emlyn’s

Are colloids more effective than crystalloids in reducing death in people who are critically ill or injured? Updated Perel P, Roberts I, Ker K Published Online: February 28, 2013 So it looks as though Cochrane