JC: Don’t Write off the Respiratory Rate – Part Two


So, now we know what to do with an unexplained abnormal respiratory rate in a baby – but how do we know what constitutes an abnormal respiratory rate? That’s the question behind the second paper from a team of Australian researchers which appeared in Archives of Disease in Childhood last month. Click the image below […]

JC: Don’t Write off the Respiratory Rate – Part One


Two really interesting PEM-relevant papers appeared online first in Archives of Disease in Childhood in July – and happy days, both are FOAM! What’s great about these papers is how they compliment each other in thinking about paediatric respiratory rates. You’ll often hear respiratory rate reported as the forgotten vital sign, its significance overlooked. Most […]

Speak Up! Have your say on the NICE guidance for Major Trauma

Major Trauma - Courtesy of Janos Baombe

A draft of the NICE guidance on assessment and management of major trauma was released this morning for stakeholder consultation. If you work in a major trauma centre, in a trauma unit – or in any institution which might receive patients with major trauma injuries, YOU are a stakeholder and NICE wants to know what you […]

JC: EAST – Let’s Be Blunt About ED Thoracotomy

Journal club at st emlyn's-2

You may have heard it said that the hardest thing about performing a resuscitative thoracotomy is the decision to do it. You may also have heard it said that the above statement is nonsense; that if you find the decision hard, you probably don’t know the procedure well enough; “the intention to do it should be very […]