Better than FFP in trauma?
Replacement of clotting factors in bleeding trauma patients seems to be of benefit, but are coagulation factor concentrates safer than […]
All Updates, ICU, Resus, Trauma
All Updates, PHARM, Resus, Trauma, Ultrasound
Open book fractures and ultrasound
For me, this is one of those ‘why didn’t I think of that?!’ studies… extending the FAST scan to measure […]
All Updates, Resus, Trauma, Ultrasound
E-FAST for pneumothorax
Some further evidence of the superiority of ultrasound over chest x-ray for the detection of pneumothorax (although it’s not perfect): […]
Acute Med, All Updates, ICU, Resus
Verapamil vs adenosine for SVT
Most people reach for the adenosine once vagotonic manouevres have failed in SVT, but some patients find the side effects […]
All Updates, Resus
It's up to you….
Sometimes you have nothing to lose by doing a procedure that you may never have done before, if the patient […]
All Updates, Kids, Resus
Prehospital resuscitative hysterotomy
My colleagues and I describe a tragic case in this month’s European Journal of Emergency Medicine1. Our physican-paramedic team was […]
All Updates, PHARM, Resus, Trauma
Effect of physician specialty on pre-hospital intubation success
Researchers from the London Helicopter Emergency Medical Service describe the success of pre-hospital laryngoscopy according to the grade and specialty […]
All Updates, ICU, Resus
Crike rate 1 in 500 in Scottish ED
A review of over 2500 intubation attempts in the emergency department1, (of which 1671 were rapid sequence intubation attempts) revealed […]
All Updates, Guidelines, PHARM
Pre-hospital NIV
Pre-hospital non-invasive ventilation for patients with acute dyspnoea features in two journals this month. Researchers at the Ambulance Service New […]
Acute Med, All Updates, ICU, PHARM, Resus
How much oxygen after ROSC?
I reported a previous JAMA publication demonstrating an association between hyperoxia and mortality in patients resuscitated post-cardiac arrest. The same […]