Prehospital Physician-provided prehospital critical care, effect on patient physiology dynamics and on-scene time. Reid BO, et al. Eur J Emerg Med. 2016. Information handoff and outcomes of critically ill patients transferred between hospitals. Usher MG, et al. J Crit Care. 2016. Bi-manual proximal external aortic compression after major abdominal-pelvic trauma and during ambulance transfer: [...]
RSI delivered by EM clinicians is common place throughout the globe, in the UK however it still seems a contentious topic, with recent data showing only 20% of ED RSIs being performed by EM clinicians. I was lucky enough to be asked to talk at the ICS SoA 2016 conference on the topic of EM [...]
Welcome to December's Papers of the month where we'll be looking at recent papers that have caught our eye. First up, what happens when clinicians override clinical decision rules for PE? Are we better than the the rules? Next we have a look at a review article that runs through the back ground literature on [...]
Patients frequently present to the Emergency Department either with direct concern following an upper gastro intestinal bleed, or with a history that points towards the diagnosis. When these patients are haemodynamically unstable or with ongoing high volume bleeding the decision to admit or discharge is simple. But when the episode has settled, deciding whether they are safe [...]
It's never long before the topic of pulmonary embolism makes it back into the controversial lime light and a recent paper on the association of PE with syncope is the lastest reason. The PESIT trial, just published in the New England Journal of Medicine certainly grabs your attention when you read the abstract, with the [...]
Some of the papers that caught our eye this month….. Prehospital Use and implementation of SOPs & checklists in prehospital emergency medicine: a literature review Design and implementation of the AIRWAYS-2 trial Factors impacting upon timely allocation of prehospital medical assistance to cardiac arrest patients Cardiac Arrest Emergency department point-of-care ultrasound in out-of-hospital and in-ED [...]
This month the literature seems to be focussed on cardiac arrest. In this podcast we'll cover a paper looking at the significance of chest compression rate, ultrasound for prognostication (and to a lesser extent identification of tamponade) and finally a systematic review and meta-analysis of PCI following ROSC. The PCI paper follows on nicely from [...]
Stroke thrombolysis has definitely put the spotlight back on to the topic of stroke care over the last few years. Thrombolysis led to restructuring of stroke care in the UK and has helped drive investment in stroke care. The evidence base that underpins thrombolysis has been controversial to say the least and can be difficult [...]
Risk assessment, testing and risk management form the very heart of Emergency Medicine and Critical Care. Being aware of the evidence surrounding a topic is key to delivering high level care but without an understanding of the underpinning concepts it's application is extremely limited. Understanding how a test result changes a patient's likelihood of a [...]
Prehospital Physician-provided prehospital critical care, effect on patient physiology dynamics and on-scene time. Reid BO, et al. Eur J Emerg Med. 2016. Information handoff and outcomes of critically ill patients transferred between hospitals. Usher MG, et al. J Crit Care. 2016. Bi-manual proximal external aortic compression after major abdominal-pelvic trauma and during ambulance transfer: [...] 
RSI delivered by EM clinicians is common place throughout the globe, in the UK however it still seems a contentious topic, with recent data showing only 20% of ED RSIs being performed by EM clinicians. I was lucky enough to be asked to talk at the ICS SoA 2016 conference on the topic of EM [...] 
Welcome to December's Papers of the month where we'll be looking at recent papers that have caught our eye. First up, what happens when clinicians override clinical decision rules for PE? Are we better than the the rules? Next we have a look at a review article that runs through the back ground literature on [...] 
Patients frequently present to the Emergency Department either with direct concern following an upper gastro intestinal bleed, or with a history that points towards the diagnosis. When these patients are haemodynamically unstable or with ongoing high volume bleeding the decision to admit or discharge is simple. But when the episode has settled, deciding whether they are safe [...] 
It's never long before the topic of pulmonary embolism makes it back into the controversial lime light and a recent paper on the association of PE with syncope is the lastest reason. The PESIT trial, just published in the New England Journal of Medicine certainly grabs your attention when you read the abstract, with the [...] 
Some of the papers that caught our eye this month….. Prehospital Use and implementation of SOPs & checklists in prehospital emergency medicine: a literature review Design and implementation of the AIRWAYS-2 trial Factors impacting upon timely allocation of prehospital medical assistance to cardiac arrest patients Cardiac Arrest Emergency department point-of-care ultrasound in out-of-hospital and in-ED [...] 
This month the literature seems to be focussed on cardiac arrest. In this podcast we'll cover a paper looking at the significance of chest compression rate, ultrasound for prognostication (and to a lesser extent identification of tamponade) and finally a systematic review and meta-analysis of PCI following ROSC. The PCI paper follows on nicely from [...] 
Stroke thrombolysis has definitely put the spotlight back on to the topic of stroke care over the last few years. Thrombolysis led to restructuring of stroke care in the UK and has helped drive investment in stroke care. The evidence base that underpins thrombolysis has been controversial to say the least and can be difficult [...] 
Risk assessment, testing and risk management form the very heart of Emergency Medicine and Critical Care. Being aware of the evidence surrounding a topic is key to delivering high level care but without an understanding of the underpinning concepts it's application is extremely limited. Understanding how a test result changes a patient's likelihood of a [...]