Resus & Crit Care

JC: Major Transfusion Protocols – evidence or lack of? St.Emlyn’s

Major Trauma Protocols for transfusion in the emergency department are a good thing aren’t they? I certainly think so, it’s something we have instituted in both paediatric and adult practice. Surely there must be robust evidence to back them up,…
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JC: Is surgical fixation of rib fractures ready for a comeback? St.Emlyn’s

If you’re an emergency physician practicing in the UK you may  be a bit surprised to hear about a trial published this week looking at the use of open reduction and internal fixation of rib fractures, and more specifically flail…
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PCI for OOHCA with NSTEMI post ROSC? An acronym too far?

So you’ve done it. In a dazzling display of medical prowess worthy of a medical TV drama you have restored the dead to life! With scrupulous airway management, high quality chest compressions (assisted by some waveform capnography, of course), careful administration…
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Road to… Nowhere? ED Implications of the Liverpool Care Pathway Review

If you haven’t seen recent UK media coverage of the review of the Liverpool Care Pathway I have to wonder where you’ve been. Nevertheless, I really don’t want to get involved in the historical facts and opinions surrounding the pathway…
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JC: Did Video kill the Laryngoscope star? Here comes the evidence. St.Emlyn’s

Although Britain and Ireland appear to be really rather fabulous at Rugby….thought I’d get that in there….., I do worry that we are falling behind the curve in terms of laryngoscopy in the ED. If you follow many of the…
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