What is actually in a bag of packed red blood cells? This appraisal revisits a 2001 laboratory study of stored blood, exploring acid–base and electrolyte changes while distinguishing measurements in the bag from evidence of their effects on patients.
JC: The metabolic and biochemical characteristics of packed red cell transfusions. Read More
Professor Jason Smith joins the St Emlyn’s podcast to discuss traumatic cardiac arrest and the research behind closed chest compressions. The conversation considers different causes of arrest, uncertainty in the evidence and the importance of preparing resuscitation teams for these cases.
Podcast – Traumatic Cardiac Arrest (TCA) with Prof Jason Smith RN Read More
Simon Carley revisits February 2019 on the St Emlyn’s podcast. The accompanying reading includes research on ventilation during intubation, pulmonary embolism in patients with syncope and trauma deaths, alongside reflections on workplace relationships and life after PTSD therapy.
Podcast – February 2019 Monthly Round Up Read More
Kat Evans shares her perspective on emergency medicine in South Africa in this recording from St Emlyn’s Live 2018. The post offers video and audio versions of her presentation, with links to badEM and related accounts of working and learning in South African emergency departments.
Lessons from a South African ED. Kat Evans at #stemlynsLIVE Read More
Simon Carley brings together ten trauma papers and resources for the 2019 TraumaUK conference. The selection spans prehospital plasma, airway management, resuscitation, head injury, emergency laparotomy and paediatric splenic injury, ending with the Zero Point Survey and preparation before resuscitation begins.
Top 10 trauma papers 2018-2019 for TraumaUK conference. St Emlyn’s Read More
Why do some bleeding trauma patients die after surviving the initial resuscitation? This 2019 discussion of an editorial by Karim Brohi and John Holcomb examines changing patterns of mortality, possible mechanisms of later deaths and the need to consider the whole trauma system.
JC: Why do bleeding trauma patients die? St Emlyn’s Read More
How should we interpret survival improvements after changes to UK trauma services? This appraisal examines TARN data from 2008–2017, considering regional trauma networks alongside changing patient populations, case identification and missing data. It also highlights the challenge of recognising serious injury in older people.
Trauma in the UK, who cares? Read More
Why did mortality remain so high among hypotensive patients needing emergency trauma laparotomy? Rich Carden’s 2018 discussion examines earlier studies, delays to surgery and damage control care, then explains the need for more detailed data and the planned TELA audit.
What’s the bleeding problem with trauma laparotomies?! Read More
