CXR in Blunt Trauma

Where does the role of a chest X-ray lie in major trauma? With the ever increasing use of CT and ultrasound in the resus room what role does the old school CXR hold? How many injuries will it pick up? How many will it miss? And when is the extra delay justified? This podcast looks at [...]

Burns

Burns are a common presentation to the ED and can result in a significant degree or morbidity and mortality. In this podcast we talk through the approach and treatment of burns along with some controversies in the literature regarding assessment of burn depth and fluid management. Enjoy! References The Parkland formula under fire: is the criticism [...]

PCI following ROSC?

If you've had an MI with a STEMI or a new LBBB the decision to go to the cath lab is pretty straight forward. If you've collapsed with a cardiac arrest of presumed cardiac aetiology (the majority of them) and gained a ROSC (return in spontaneous circulation) then the decision to go the the lab [...]

5 Essential Papers

I haven't always read papers and with the time pressures of training and life it's impossible for us to be on top of all of the literature. But over the last few years I've come across some papers that I wish others had told me about. For some of you this will all be a recap [...]

Papers of July

Here's a look at some of the papers that caught our eye this month. We have a look at papers covering platelet transfusions for patients on antiplatelets who suffer intracerebral bleeds, the optimal dose for procedural sedation with ketamine in children, a new meta-analysis on the sensitivity of early CT in suspected sub arachnoid haemorrhage and [...]

Safety of ED sedation

Sedation is becoming an ever more significant part of our work in the Emergency Department. At the end of May 2016 the Royal College of Emergency Medicine Published the RCEM Sedation Audit of 2015-2016 that covered more than 8,000 ED sedations throughout the UK (involving more than 190 ED's). There are some pearls to take out of this [...]

July 2016

Some of the papers that caught our eye this month..... So you think you're quick at tubing those ED patients, but are you?? Human factors in the emergency department: Is physician perception of time to intubation and desaturation rate accurate? Cemalovic N, et al. Emerg Med Australas. 2016. When getting it right first time matters the [...]

Papers of June

Here's a look at some of the papers that caught our eye this month. We have a look at papers covering CT head imaging in delayed presentations, risk stratifying TIAs, early administration of fluids in severe sepsis and most importantly the utility of a biro in a surgical airway....... Make sure you go and have [...]

June 2016

Some of the papers that caught our eye this month..... What does Ketamine really do to your haemodynamics on induction? Hemodynamic Response After Rapid Sequence Induction With Ketamine in Out-of-Hospital Patients at Risk of Shock as Defined by the Shock Index. Miller M, et al. Ann Emerg Med. 2016 Can we predict outcome of a patient with drowning? [...]