GCS 8, intubate?

‘Patients with GCS scores of 8 or less require prompt intubation’, that’s what ATLS tells us. The mantra of GCS 8, intubate has pervaded teaching for those involved in the management of patients with a reduced GCS (Glasgow Coma Scale). But on reflection it would seem slightly odd that the gain or loss of a single point…

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Papers of April 2019

So we’ve got a massively important paper that we’re going to kick off April’s Papers of the Month podcast with, which is the RCT we’ve been waiting for; whether patients who have a ROSC should go to the cath lab, without a stemi, if the presumed cause is a coronary event? We’ve covered this topic…

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Advanced Airway Updates

We were lucky enough to be back at the fantastic TraumaCare Conference last week. There were a whole host of fantastic talks on offer and the Emergency Medicine stream, arranged by our very own Rob Fenwick, included a pro/con debate on whether Emergency Medicine should be managing the trauma airway. During that debate a number… Read More

March 2019

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. Cardiology Benefits of rhythm control and rate control in recent-onset atrial fibrillation. the hermes-af study. Martín A. Acad Emerg Med. 2019 Critical Care Bag-Mask Ventilation during Tracheal Intubation… Read More

Papers of March 2019

We've got a broad array of topics and papers for you this month! First up we look at a paper from the NEJM assessing the potential benefits in providing ventilations to patients undergoing an RSI. Next we look at patients presenting with both syncope and pre-syncope to the emergency department, this paper quantifies the risk that… Read More

February 2019

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 Laryngeal Tube Insertion vs Endotracheal Intubation for Out-of-Hospital Cardiac Arrest. Huang L. JAMA. 2019 Cardiology 10 myths about frusemide. Joannidis M. Intensive Care Med. 2019 Prevalence of… Read More

Hypothermia

Hypothermia is a common problem for both pre and in-hospital clinicians. Understanding the underpinning physiology helps us deliver first class care to our patients, decreasing associated morbidity and mortality. There is some extremely difficult decision making to be done in severe cases of hypothermia and the podcast gives us an opportunity to explore them further.… Read More

Papers of February 2019

Ketamine and trauma are the topics for this months papers. The three papers we cover are really important for all of us involved in the care of critically unwell patients. Hypotensive resuscitation in the context of trauma has been an evolving area of practice in the treatment of our acute trauma victims. A paper published… Read More

January 2019

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. Cardiology Prehospital Double Sequential Defibrillation: A Matched Case-Control Study. Mapp JG. Acad Emerg Med. 2018 Critical Care Push dose pressors: Experience in critically ill patients outside of the… Read More