2026 PE Guidelines
Pulmonary embolism (PE) is one of those diagnoses that finds its way into a lot of differential diagnoses. In the era of reasonably easy-but-occasionally-argue-with-radiologist to get CTPAs, the diagnosis has increased. An […]
Is post-induction hypotension harmful in traumatic brain injury?
How bad is hypotension in TBI? What’s the real world impact in a high quality PHEM service.
Rich Carden reviews a recent paper that helps us understand the impact. #FOAMed @stemlyns
Is post-induction hypotension harmful in traumatic brain injury? Read More
A refresher on blood transfusion in trauma
Transfusion in trauma has evolved at a rapid pace over the last decade and it can be hard to keep up with the latest evidence. I also find it useful to think about the story of how the science has developed to lead us to our current practice. The purpose of this post is to provide a narrative of how we have arrived at the contemporary approach to transfusion in trauma.
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What is the Bezold-Jarisch Reflex and why do I care?! St Emlyn’s
Bradycardia in the trauma patient can be a perilous sign. One might observe a typical course of events in which a bleeding trauma patient progresses through the compensatory mechanisms in
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Clot’s the Problem? Vena Cava filters in trauma patients. St Emlyn’s
No one likes getting a pulmonary embolism. Or a deep vein thrombosis. And because about 60% of all blood clots are associated with hospitalisation for acute illness1, we take the
Clot’s the Problem? Vena Cava filters in trauma patients. St Emlyn’s Read More
Prolonged Field Care…in the ED. St Emlyn’s
The practice of military emergency medicine and civilian emergency medicine frequently overlap, often in a symbiotic relationship1,2. The hard-won lessons from the operational environment are often incorporated into civilian practice
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What’s the bleeding problem with trauma laparotomies?!
Mortality for hypotensive trauma patients undergoing emergency laparotomy have not changed in 20 years. This blog explores the literature and the future!
What’s the bleeding problem with trauma laparotomies?! Read More
JC: CRYOSTAT-2 with Ross Davenport
You might be aware that an exciting new trial has started called Cryostat-2. This is exciting as it has the potential to improve patient outcomes, but also because it will
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