Tag Archive: CMP2

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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JC: Cardiac arrest centres and bypass. St.Emlyn’s

The concept of cardiac arrest centres is not entirely new and is something we’ve been talking about in Virchester for some time. Indeed, there are several articles in the literature and a fairly reasonable patho-physiological argument for them1–3. We know…
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JC. Pre-hospital therapeutic hypothermia: The RINSE trial. St.Emlyn’s

This week we look at the RINSE trial1, a trial examining the prehospital use of hypothermia in post cardiac arrest patients. Therapeutic hypothermia has had a bit of a rollercoaster ride over the last few years. It was all the…
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JC: Does EPO improve OOHCA outcomes? St.Emlyn’s

Here at St.Emlyn’s we are always interested in improving outcomes from serious illness and injury. In many cases the outcome for patients in terms of their quality of life is related to neurological function. Yet we are limited in what…
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JC: Arrested Developments. St.Emlyn’s

  Good quality, practice-changing prehospital research is difficult to come by for a number of reasons, not least the fact that the standalone specialty itself is in relative infancy. Issues of consent and ethics, combined with the very urgent nature…
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PODCAST update with Mark Wilson on the GoodSAM app at the London Trauma Conference

    Earlier this year we published a blog on the GoodSAM app, a device developed by Mark Wilson and colleagues in London that has a real potential to save lives. Since then we have heard him speak at a…
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JC: PARAMEDIC trial m-CPR at St.Emlyn’s

  In some ways you might be forgiven for thinking that 2014 was a bit disappointing in terms of EBM. A number of clinical trials that I’ve been looking forward to for some time have in effect produced negative results….
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JC: Getting Chilly Quickly 3. Hypothermia at St.Emlyn’s

In a rather strange co-incidence two articles landed on my desk this soggy Sunday morning. Firstly we have an RCT of intra-arrest therapeutic hypothermia published in Intensive Care Medicine. Secondly we have the ‘cool car‘. Now I like science and…
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