Should you insert a chest drain before CT in trauma? A practical guide to managing pneumothorax, balancing risk, delay, and decision-making in the resus room. @stemlyns #FOAMed
TTL Tip 9: Chest Drain Before CT? Think, Decide, Communicate Read More
Emergency Department crowding is hard to explain to non-clinical audiences. A cognitive bridge is a three-step tool to help others understand.
Explaining Emergency Department Crowding Using a Cognitive Bridge Read More
Keep blood in the patient. Control haemorrhage early. Most external bleeding will have been addressed prehospital, but not all. Patients may self-present, deteriorate, or require reassessment as resuscitation progresses. Effective
TTL tips 8: External Haemorrhage control Read More
The study in this post was conducted in southern Gaza, where attacks continue. If you want to want to support medics in the region, consider donating to Doctors Worldwide. Last
Does targeting the left ventricle during CPR improve outcomes in cardiac arrest? We review the EXECT-CPR trial and explore the shift from algorithm-based to physiologically guided resuscitation.
TOE-Guided CPR in Out-of-Hospital Cardiac Arrest: Physiology Over Algorithm? Read More
Physician-based HEMS provision in the UK has expanded significantly since 2009, but variation remains. This St Emlyn’s review examines access, funding models and whether a largely charity-led system can deliver national equity.
Access to physician-based HEMS in the UK: progress, patchwork or postcode lottery? Read More
A critical appraisal of a RCT comparing whole blood vs blood component transfusions for bleeding trauma patients
NHS England’s Model Emergency Department guidance asks trusts to include demand and capacity modelling in implementation plans. But that is harder than it sounds. Much of future emergency care demand comes from residual factors such as technology, supply-induced demand and access barriers, which traditional modelling often misses.
Model Emergency Department, Capacity and Demand Read More
