Critical Care

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.

ACEM

  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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101 Reflective Lessons from a Year with Sydney HEMS. Part Three: Clinical

This post, detailing my reflections on clinical retrieval medicine, is the third in a series recording my reflections on the past twelve months, which I have spent working for Sydney HEMS in prehospital and retrieval medicine. The first post covers medical…
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Are you PROcalcitonin? St.Emlyn’s goes bug-hunting.

At work the other day, someone mentioned that we could use procalcitonin to distinguish between viral and bacterial infections, particularly in the paediatric population. It was touted as the answer to that age-old question, “should I prescribe antibiotics for this…
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Sugar and Spice…Not All Things Nice

Synthetic Cannabinoid

The use of synthetic cannabinoids is on the rise.  They are dangerous, don’t fit a particular toxidrome, and can require emergent intervention.  They are a nasty phenomenon and this article will hopefully show you why. The Background Novel psychoactive substances…
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JC: Intubate or not intubate? That is the question…

    Clinical scenario: A multi-morbid, elderly patient with renal failure and recently diagnosed hyperkalaemia suffers a cardiac arrest in your busy resuscitation area before you can start appropriate treatment. You start CPR with a fully available team and give instructions…
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