Tag: SLO3

JC: The BASICS trial. 0.9% saline vs balanced solution. Does it matter?

I’ll admit that my long term clinical practice has been to prefer balanced solutions (in my case Hartmans) over 0.9% saline in the management of the critically ill patient. It’s a topic we’ve blogged and

targeted temperature management

JC: The TTM2 trial. Normothermia or hypothermia post cardiac arrest.

A quick update on an TTM2 trial published in the NEJM last month. As part of the chain of survival it’s important to optimise the post resuscitation phase, primarily to preserve neurological function as this

Big Shock…..Do we ❤ POCUS?

‘Red Standby 4 mins’ tannoys the nurse in charge. ‘It’s a 70yr old male BP 68/49, pulse 120, GCS 14/15, O2 sats 98% on 15L NRB, temperature 37.5°C’ you are reliably informed by a colleague.

Preventing mid-life spontaneity becoming a crisis – SCAD as a serious cause of chest pain. St Emlyn’s

It’s the call that no healthcare professional wants to get… “Hi Mate. Sorry to bother you, it’s just Lucy has got some chest pain and doesn’t look great. Do you think I should take her

Demystifying Adult Congenital Heart Disease in the ED – The Podcast from St Emlyn’s

This blog post accompanies a two part podcast series discussing Adult Congenital Heart Disease (ACHD) and how these patients may present to the Emergency Department (ED). Dr Sam Fitzsimmons, our guest on the podcast, is

Anaphylaxis – A Guideline Update

Although this post is mainly about the new Anaphylaxis Guidelines published recently, please bear with me while we get a little nerdy with some physiology first… For anyone starting out in Emergency Care, diagnosing and

Can a prediction model improve major trauma triage? St Emlyn’s

Ed – Tom Shanahan (here in Virchester) recently published a paper on whether a Dutch prediction model is better at identifying major trauma patients than existing methods. The publication provoked an interesting debate on Twitter

Oxygen targets in critical care: The HOT-ICU trial. St Emlyn’s

Oxygen targets in critically ill/injured patients has been something we’ve talked about on the blog before. In general the evidence to date has suggested that the routine prescription of oxygen to patients is unhelpful and

Ludwig's angina St Emlyn's

Ludwig’s Angina. St Emlyn’s

There’s two reasons why Ludwig’s angina sends a shiver down my spine but probably only one of them will apply to you. Back in 2003 when I was a third year medical student my consultant

COVID-19 testing

Understanding COVID-19 testing with Rick Body. St Emlyn’s

This week Simon and Rick got together to talk through the latest technologies, uses and performance of COVID-19 testing. We think it’s a really useful listen to understand the strengths and weaknesses of the various