Critical Care

JC: Does Epinephrine work in Cardiac Arrest. St Emlyn’s

Epinephrine use in cardiac arrest is controversial1,2. Despite patho-physiological arguments3,4 that it can improve brain perfusion and even that it may improve the rate of ROSC (Return of Spontaneous Circulation) many have expressed the concern that this does not then…
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The Resuscitationist’s Guide to Health and Wellbeing. A St Emlyn’s e-book.

There are four content pillars underpinning the St Emlyn’s blog and podcast. Evidence based medicine, Clinical Excellence, The Philosophy of EM and Wellbeing. We are bringing all these themes/pillars together at our #stemlynsLIVE conference later this year which we really…
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#badEMFest18 Day 2. St Emlyn’s.

Day two of #badEMFest18 started with sun and beauty. Some lunatics went off for a run in the morning….. #BADEMFest18 pic.twitter.com/BS3SQHVlWd — brian burns (@HawkmoonHEMS) March 23, 2018 Day two formally kicked off with a series of workshops. Based around…
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JC: Do early pupil responses predict outcome in cardiac arrest? St Emlyn’s

Imagine yourself in the resus room. You’ve just got Return of Spontaneous Circulation (ROSC) on a patient who was in cardiac arrest. They had excellent bystander CPR and an early shock from an Automatic External Defib. The patient has been…
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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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