Early defibrillation is a key step in the management of cardiac arrest patients patients with VF/VT In many cases defibrillation does indeed revert the patient to a better rhythm, but …
JC: Alternate defibrillation strategies in refractory VF. The DoseVF trial. St Emlyn’s Read More »
I’ve recently been spending a bit more time in the pre-hospital environment and it’s been interesting to compare practice there as compared to the emergency department. One theme has been …
JC: Fentanyl as an adjunct in RSI. Does it affect haemodynamic stability? St Emlyn’s Read More »
This week we have a nice paper that highlights some of the ongoing thoughts and controversies about the use of calcium in major haemorrhage protocols. Hopefully you’ve already read Iain’s …
More on Calcium and blood products in trauma. St Emlyn’s Read More »
The story of vitamin C in sepsis is fascinating. There was a great deal of controversy around what became known as the Marik protocol (after Prof. Paul Marik). The protocol …
This week we see the publication of the RePHILL trial. This is something we have been looking forward to for some time. A randomised controlled trial of the use of …
Resuscitative thoracotomy remains a controversial procedure in prehospital and emergency care. This month we have more evidence of its effectiveness in prehospital care. Despite significant advances in trauma care, we …
JC: Pre-hospital thoracotomy – what can we learn? St Emlyn’s Read More »
Just a quick review this week as this is a paper published back in December that has been superbly reviewed already over on the SGEM. However, it’s an interesting topic …
JC: Etomidate vs. Ketamine for emergency intubation. St Emlyn’s Read More »
A trial published in JAMA asks exactly this question, the full text can be found here. The abstract is below, but as we always say, please read the full paper …
JC: Should we use calcium in out of hospital cardiac arrest? St Emlyn’s Read More »
There is no doubt that sub-arachnoid haemorrhage is an important diagnosis in the emergency department. It is arguably especially important in the cohort of patients who present with lesser signs/symptoms …
JC: Are CT scanners getting more sensitive at detecting SAH? St Emlyn’s Read More »
This week we are reviewing a paper on the accuracy of pulse oximetry in patients being assessed for ECMO. This is an interesting group as they represent and extremely unwell …
JC: More on pulse oximetry and racial bias. St Emlyn’s Read More »
