Tag Archive: CC21

JC: Salt or Sugar? Hypertonic saline for head injury at St.Emlyn’s.

‘Why did you give Mannitol?’ asked the Registrar. ‘Hypertonic saline was the standard of care for head injury at St.Elsewhere and I was told it reduced mortality’. OK, so that’s a paraphrased recollection from some time ago. Our patient had…
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When to withdraw resuscitation in the Emergency Department. St.Emlyn’s with Richard Taylor.

When can and should we withdraw from continuing resuscitation in the ED? The standby phone rings: Post cardiac arrest patient, approximately 50. Intubated, BP 80/40, GCS 3. ETA 5 minutes. You meet the crew in resus and get the story….
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Robocop gets the NICE 2016 major trauma treatment. St.Emlyn’s

Today, to much excitement, we saw the release of the NICE major trauma guidance.  Nat did an excellent review of the draft guidance, which you can read here.  We now have the full guideline which you can download from this…
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JC: Don’t Write off the Respiratory Rate – Part One

Two really interesting PEM-relevant papers appeared online first in Archives of Disease in Childhood in July – and happy days, both are FOAM! What’s great about these papers is how they compliment each other in thinking about paediatric respiratory rates….
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Speak Up! Have your say on the NICE guidance for Major Trauma

A draft of the NICE guidance on assessment and management of major trauma was released this morning for stakeholder consultation. If you work in a major trauma centre, in a trauma unit – or in any institution which might receive patients…
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New kids on the block. 2015 APLS trauma updates.

The Advanced Paediatric Life Support (APLS) is, in my opinion at least, a great course. Covering paediatric life support, serious illness and injury it’s got a good reputation and is led by a team of clinicians who have always tried…
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