Edited by Prof. Simon Carley & Dr. Greg Yates Leading a trauma team is one of the most challenging and rewarding roles in emergency medicine. It’s a blend of clinical […]
Introducing the Trauma Team Leader Tips (TTL Tips) Series Read More
The 2025 Medical Training Review (MTR) is the most significant rethink of UK postgraduate medical education in decades. It calls for more flexible, inclusive, team-based training that recognises learning across all grades, not just numbered trainees. For emergency medicine, this may mean redesigning pathways to include SAS and LED doctors, refreshing the RCEM curriculum, and re-establishing supportive team structures. EM must lead the way in creating sustainable, flexible, and patient-centred training for the next generation.
What does the Medical Training Review mean for Emergency Medicine training in the UK? Read More
The FiiRST-2 randomised trial compared fibrinogen and prothrombin complex concentrate with plasma in trauma patients needing massive transfusion. No significant benefit was found. Read our St Emlyn’s critical appraisal.
Factors in the Initial Resuscitation of Patients With Severe Trauma – The FiiRST-2 Trial Read More
The SUPERB trial compared ultrasound-guided supraclavicular block with Bier block for distal forearm fracture reduction in the ED. Both provided excellent pain relief, with supraclavicular block noninferior and offering longer analgesia. Safe, feasible, and well-tolerated, this trial supports expanding regional anaesthesia options for emergency physicians managing upper limb injuries.
The EVIDENCE trial asked if rapid transport with ongoing CPR improves survival in refractory out-of-hospital cardiac arrest. Results: no clear benefit over on-scene resuscitation.
Background Paediatric generalised convulsive status epilepticus (GCSE) are some thing we see a fair amount of in Virchester. Many are a result of febrile seizures, but as we are a
JC: Ketamine or Midazolam as first choice for Paediatric Status Epilepticus? St Emlyn’s Read More
A review of intra-arrest stellate ganglion block for refractory cardiac arrest. Could this novel technique improve ROSC rates? Critical appraisal of scoping review. @stemlyns #FOAMed
JC: Intra-arrest Stellate Ganglion Block Read More
Can children with abdominal pain, vomiting, or tenderness avoid CT? We review PECARN’s latest insights into low-risk paediatric trauma.
Evaluating the PECARN Abdominal Trauma Rule in the grey zone…. Read More
