Resus & Crit 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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Torso Trauma tips and the BASICS North West conference 2018. St Emlyn’s

torso trauma basics

Not every conference has to be huge, multimedia and international, there is a lot to be said for local conferences. This week I attended the BASICS North West regional conference1. Here are some of my notes and highlights of the…
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#badEMfest18 Day 4. Farewell and thank you from St Emlyn’s

or And, in the blink of an eye, it was the final day of #badEMfest18. This is the final post on #badEMFest18 and it’s been a long time coming. Maybe that’s because it’s been busy, but it’s also that we’ve…
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JC: TICH TICH BOOM? TXA in ICH. St Emlyn’s

TXA. Huh. Good god y’all. What is it good for? Absolutely everything. This appears to be the alternative hypothesis for the TICH-2 study 1, published last week in the Lancet. Off the back of recent evidence suggesting early IV tranexamic…
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JC: Oxygen in the Acutely Unwell Patient. St Emlyn;s

When I started in medicine all resuscitation started with some form of supplemental oxygen. Whether that was by face mask, LMA or intubation, oxygen was the mainstay of initial treatment and you would even fail exams for not suggesting it…
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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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“To Protect and Serve…and Drop Off”. Penetrating Trauma in Philadelphia. St Emlyn’s

Penetrating trauma is a rising problem on both sides of the Atlantic – just tune into any of the major news channels to see the effect.  Its increasing burden on US prehospital deaths from 2007 to 2014 was recently highlighted…
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