#cmp2

JC: Macintosh vs. McGrath laryngoscopy in pre-hospital care.

There has been an ongoing debate about the use of video laryngoscopy (VL) in emergency and critical care​1–4​. Proponents speak of the better visibility and ability to teach using video systems whereas those preferring a direct laryngoscopic (DL) approach speak to a more rapid, tried and tested technique. A few studies exist which in general have favoured DL owing to the increased time,…

JC: Do you see the light? Serum neurofilament light chain for prognostication following OOHCA

I’ve been meaning to do a blog on this paper for some time now. Paul Young, who’s opinion I have a lot of time for, seemed clearly excited about its release. And in December at the ICSSOA 2018Celia Bradford selected it as one of her top 5 neuro papers of the year. It also got a cheeky nod from Alasdair Proudfoot in the top 5 cardiovascular papers. Evidence enough that people are sitting up and…

Podcast: September 2018 round up of the St Emlyn’s blog

Here’s the September podcast round up of the St Emlyn’s blog.

For some reason this did not get published back in 2018, so here it is now 🙂

The following blogs are discussed.

OOHCA and airway management. Do we need a tube?  http://www.stemlynsblog.org/jc-oohca-and-airway-management-do-we-need-a-tube-st-emlyns/

The Zero Point Survey. Optimising resuscitation teams in the ED. https://www.stemlynsbl…

Beyond A(C)LS. Salim Rezaie at #stemlynsLIVE

Ed – This blog is based on the talk Salim gave at #stemlynsLIVE in Manchester back in September 2018. The background and data below was first published on the REBEL EM website and is reproduced here with permission.  Please visit that site and subscribe for more evidence based emergency medicine and critical care. Note that in the UK we use the term ALS instead of ACLS.

The focus of this talk…

JC: OOHCA and Airway management. Do we need a tube? St Emlyn’s

  If out-of-hospital cardiac arrest and outcome data is the topic, long is the list of research and passionate is the debate on every possible measurable outcome from pit crew CPR to methodology of compression delivery or the merits of load-and-go vs. stay-and-play.  Another loved and frequently debated topic among prehospital enthusiasts is that of the prehospital airway: the provider, the…

JC: Does Epinephrine work in Cardiac Arrest. St Emlyn’s

Epinephrine use in cardiac arrest is controversial. Despite patho-physiological arguments1 that it can improve brain perfusion and even that it may improve the rate of ROSC (Return of Spontaneous Circulation) many have expressed the concern that this does not then translate into real survivors to hospital discharge or to those who have survived WITH a good neurological outcome2,3.

Epinephrine…

JC: Oxygen in the Acutely Unwell Patient. St Emlyn;s

When I started in medicine all resuscitation started with some form of supplemental oxygen. Whether that was by face mask, LMA or intubation, oxygen was the mainstay of initial treatment and you would even fail exams for not suggesting it for everyone. In some cases I wondered if I should have my own personal O2 supply during a resuscitation as it would seem to be the treatment for everyone and…