Papers of Feb ’17

Welcome back to Papers of the Month. February holds a diverse number of topics on some really interesting areas of practice. We kick off with a snap shot systematic review from the Annals of Emergency Medicine on the effect of Amiodarone or Lignocaine on the outcome from refractory VF or VT arrests, are drugs losing [...]

The AHEAD Study

Those of us who are a bit longer in the tooth have spent most of our careers not scanning everyone who sustained a head injury on warfarin, but in 2014 NICE published guidance suggesting we do just that. At times, with the huge burden we place on our radiology services, it is difficult not think [...]

Cardiac Arrest Cessation

A lot of our podcasts have focussed on prognostic factors in arrest to help with the decision making of continuing or stopping resuscitation in cardiac arrest. There would appear to be a huge variety in practice as to when resuscitation is ceased, and in that way having explicit guidance to unify practice can at times seem [...]

January 2017

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. Prehospital   Failure rate of prehospital chest decompression after severe thoracic trauma. Kaserer A. Am J Emerg Med. 2016 Comparison of Etomidate [...]

Papers of Jan ’17

Happy New Year!!! The publishing world seems to have wound down a bit for the festive break, but 4 papers caught out eye that can add some further context to practice in the Resus Room. Firstly we take a look at two papers looking at the conversion from non-shockable to shockable rhythms in cardiac arrest, both [...]

The Gospel According to NICE

The Gospel According to NICE- Chest Pain of Recent Onset: Assessment and Diagnosis. Updated Guideline 2016. In November 2016, at a grand gala dinner at NICE HQ, the updated chest pain guidelines were released . The update was accompanied by fireworks, dancing girls and a clamour on social media. Emergency Departments were tearing up their [...]

2016 Round Up

So it's that time of year when we try and wind down and take stock of what's gone on over the last 12 months and make plans for the next year ahead....the problem being that workload does anything but decrease over the festive period in Emergency Care! So we thought we'd save you the hard yards [...]

Troponins

As the years tick by our healthcare systems work harder and harder to ensure that acute coronary syndromes are picked up as they present to our Emergency Departments, the evolution of high sensitivity troponins and their application have been key to this. The utility of a test however is dependant upon it's application to the [...]

RSI Debate; Aftermath

So my talk at the ICS SOA 2016 conference on whether ED should be allowed to intubate certainly provoked some discussion, which was fortunate as it was the purpose of the talk! If you haven't listened to it yet, stop reading this and have a listen to the talk here first. In this quick debrief between Rob and myself we [...]