Critical Care

JC: Balanced fluids vs Saline on the ICU. The SMART trial. St Emlyn’s

There has a been a little flutter of activity in the #FOAMed world this week about two trials published in the NEJM on the subject of balanced fluids in the care of critically ill patients, and also on admitted patients…
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104 Reflections from Sydney HEMS – the eBook. St.Emlyn’s

Firstly, the title of this post is not a typo. When I collated the reflective lessons from my series of Sydney HEMS blog posts I realised there were actually 104, not 101. Apologies for the misleading advertising, but there was…
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JC: Does earlier TXA save lives? St.Emlyn’s

Administration of tranexamic acid (TXA) is integral part of the management for major trauma patients in the UK. It is deemed such an important aspect that its administration is used as a quality indicator to benchmark major trauma centres across…
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The 2017 ACEM Winter Symposium with Katherine Gridley.


  This year the Australasian College of Emergency Medicine (ACEM) winter symposium was held in the beautiful Barossa valley in South Australia. This 4 day conference is designed to bring emergency physicians together from across Australia and New Zealand to…
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It’s Not OK: Communication in Paediatric Critical Care at #dasSMACC

  I don’t know about you but I had relatively little communication skills training at medical school. It was two or three days over five years and I thought that was ok, but now it seems strikingly inadequate considering communication…
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101 Reflective Lessons from a Year with Sydney HEMS. Part Four: More Clinical

This post, detailing my reflections on clinical retrieval medicine, is the fourth in a series recording my reflections on the twelve months I spent working for Sydney HEMS1 in prehospital and retrieval medicine. The first post covers medical education – you can…
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