Trauma Care 2018

For this episode we’ve been lucky enough to catch a number of the speakers from the traumacare conference. First up, conference organiser Caroline Leech (EM + PHEM consultant) gave us a few minutes of her time to talk about the latest major trauma key performance indicators from NICE. Nicola Curry (Consultant Haematologist) spoke about transfusion [...]

Endocarditis

In this episode Rob takes us through a case he saw recently that brought about some invaluable learning. You can probably guess what it'll be scrolling down below... Enjoy! Simon & Rob Infographic via Strata5 References & Further Reading (anonymised to keep the anticipation!) Article 1 Article 2 Article 3 Article 4

April 2018

Here are the papers that caught our eye over the last month, many of these will go onto form the topics for our monthly podcasts and topics which you can subscribe to here. Cardiac Arrest Effect of Bag-Mask Ventilation vs Endotracheal Intubation During Cardiopulmonary Resuscitation on Neurological Outcome After Out-of-Hospital Cardiorespiratory Arrest: A Randomized Clinical Trial. Jabre P. JAMA. 2018 Out-of-hospital [...]

Papers of April 2018

Welcome back to April’s papers of the month. We’ve got 3 papers this month that look to challenge our work up strategies for the critically unwell. First up we look at a paper on the Ottawa subarachnoid haemorrhage rule, specifically considering if we can decrease scanning in patients with a suspected SAH and what application [...]

RSI in critically unwell patients

Gaining control of the airway in a critically unwell patient is a key skill of the critical care team and littered with potential for difficulty and complications. NAP4 highlighted the real dangers faced with their review of complications of airway management in the UK, lessons have been learnt and practice has progressed. As always there [...]

The Crystalloid Debate

How often do you prescribe or give i.v. fluids to your patients? How much thought goes into what's contained in that fluid? What effect will you fluid choice have on your patient? Two trials on crystalloid administration in the acutely unwell patient have occupied a lot of conversation in the research world over the last [...]

March 2018

Here are the papers that caught our eye over the last month, many of these will go onto form the topics for our monthly podcasts and topics which you can subscribe to here. Cardiac Arrest Chest compression-only versus conventional cardiopulmonary resuscitation for bystander-witnessed out-of-hospital cardiac arrest of medical origin: A propensity score-matched cohort from 143,500 patients. Kitamura T. Resuscitation. 2018 Critical Care Safety [...]

Papers of March 2018

Welcome to March's papers of the month. We know we're biased but we've got 3 more superb papers for you this month! First up we review a paper looking at oxygen levels in patient's with a return of spontaneous circulation following cardiac arrest, is hyperoxia bad news for this patient group as well as the other [...]

February 2018

Here are the papers that caught our eye over the last month, many of these will go onto form the topics for our monthly podcasts and topics which you can subscribe to here. Cardiac Understanding cardiac troponin part 2: early rule out of acute coronary syndrome. Carlton E. Emerg Med J. 2018 Cardiac Arrest In a subset of PEA patients, do [...]