Explore essential critical care topics, including sepsis, respiratory failure, haemodynamic support, and trauma resuscitation. Our evidence-based posts provide practical guidance on managing critically ill patients in emergency and acute care settings.
Bleeding in trauma has had a lot of press recently. In Europe we have had several international consensus guidelines published on the topic. Unfortunately, these guidelines (published the same year) […]
Can we buy time in bleeding trauma. St.Emlyn’s. Read More
‘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
JC: Salt or Sugar? Hypertonic saline for head injury at St.Emlyn’s. Read More
After my recent, hugely enjoyable, trip to Austria and attendance at the “notfallmedizin 2016” where, as well as doing a talk about FOAMed, I chaired a session on “Volume and
The European Guideline on Management of Major Bleeding – are you in or out? Read More
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
JC: Arrested Developments. St.Emlyn’s Read More
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.
We can be a confused bunch when it comes to sepsis. We have seen definitions, debates and controversies as to how we treat and what we treat. Today a new
Holy Smokes! Batman, the SOFA and the Latest Sepsis Definitions Read More
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 Nat did an excellent review of the draft guidance, which you can read here.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
Robocop gets the NICE 2016 major trauma treatment. St.Emlyn’s Read More
subarachnoid management and diagnosis in the emergency department. St.Emlyn’s controversies in the use of CT scanning lumbar puncture LP and medical therapy.
Let’s talk about subarachnoid haemorrhage Read More
