Cutting edge PHEM

Excellent practice is led by following the high quality evidence based medicine, and there have been a lot of great papers published in the last 12 months!

We were kindly invited to the Faculty of Pre Hospital Care Annual Scientific Conference to give a talk on the top 10 papers over the last year. Sadly, but completely understandably, the conference had to be cancelled due to COVID-19. In this podcast we cover the talk which is based on 2 cases that are common to PHEM;a major trauma and a cardiac arrest, and discuss how we can optimise outcomes for our patients in view of the recent evidence on these areas.

As always we’d love to hear any thoughts or comments you have on the website and via twitter, and make sure you take a look at the references and guidelines linked below to draw your own conclusions.


SimonRob & James

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Effects of tranexamic acid on death, disability, vascular occlusive events and other morbidities in patients with acute traumatic brain injury (CRASH-3): a randomised, placebo-controlled trial. The CRASH-3 trial collaborators. Lancet. 2019

Effect of a fluid bolus on cardiovascular collapse among critically ill adults undergoing trachealintubation (PrePARE): a randomised controlled trial. Janz DR. Lancet Respir Med. 2019

Does the addition of fentanyl to ketamine improve haemodynamics, intubating conditions or mortality in emergency department intubation: A systematic review. Ferguson I. Acta Anaesthesiol Scand. 2019

Bag-Mask Ventilation during Tracheal Intubation of Critically Ill Adults. Casey JD. N Engl J Med. 2019

Effect of the introduction of C-MAC videolaryngoscopy on first-pass intubation success rates for emergency medicine registrars. Mackie S. Emerg Med Australas. 2020

Prehospital critical care is associated with increased survival in adult trauma patients in Scotland. Maddock A. Emerg Med J. 2020

Thrombolysis During Resuscitation for Out-of-Hospital Cardiac Arrest Caused by Pulmonary Embolism Increases 30-Day Survival: Findings From the French National Cardiac Arrest Registry. Javaudin F. Chest. 2019

Coronary Angiography after Cardiac Arrest without ST-Segment Elevation. Lemkes JS. N Engl J Med.2019

Early whole body CT for treatment guidance in patients with return of spontaneous circulation after cardiac arrest.Viniol S. Emerg Radiol. 2019

The effect of prehospital critical care on survival following out-of-hospital cardiac arrest: a prospective observational study. von Vopelius-Feldt J. Resuscitation. 2019

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