#cmp4

COVID-19: Journal Club #3 – The Webinar

Welcome to our third webinar and journal club reviewing recent research and featuring COVID-19 updates, hosted by the University of Manchester, Manchester Royal Infirmary and Royal College of Emergency Medicine in collaboration with St Emlyn’s.

The live event will take place on Tuesday 28th April at 11am BST (10am GMT). Youcan join the Zoom meeting here

The full Youtube feed will be…

Keep up to speed with the #COVID19 #EBM Journal Club on @stemlyns. @Reynard_EM with the Director's Cut #2 @mina_el_naguib @richardbody @VallelyPam @GovindOliver @ternfellow @RCollEM @RCEMprof @@EMTAcommittee @EuropSocEM #FOAMed #EBM

It’s tough keeping up to date with the ever changing world of Covid19. Whilst we are all working hard at treating patients in the ED and ICU, we also need to try and keep up to date with new evidence coming out all the time. Our aim is to help you hold back the hoardes of papers that threaten your doorstep, and only allowing those worthy of your attention through. If you are in a rush RCEM’s Top…

World Sepsis Conference: #wsc18 an Online, Free, #FOAMed style conference this week. 5th/6th September.

There is no doubt that I love a conference. I’ll freely admit this. I love the travel, the connections and the opportunity to learn, but I also have anxieties about the inequality of conferences, notably international ones. Many people cannot travel for economic, staffing or rota difficulties. We should also all be mindful of the environmental impact associated with the travel and other…

JC: Intravenous fluid therapy in critically ill adults (review). St Emlyn’s

The use of Intravenous fluid therapy and the controversies around them have been a theme of the blog from the very beginning. From the early days when evidence increasingly pointed to the harms of starch based solutions1–5 through to one of our latest podcasts on the use of balanced solutions in children6, the use of intravenous therapies has been a core of interest, uncertainty and dogmalysis.

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…

JC: Balanced fluids vs Saline on the ICU. The SMART trial. St Emlyn’s

There has a been a little flutter of activity in the #FOAMed world this week about two trials published in the NEJM on the subject of balanced fluids in the care of critically ill patients, and also on admitted patients in US hospitals. The debate about balanced fluids vs. saline is fairly long standing, the view here at St Emlyn’s has been that balanced fluids (e.g. Ringers, Hartmans,…

The End of the ‘Roid? JC: ADRENAL

So another year, another Critical Care Reviews meeting. Rob is doing an absolutely fantastic job with these, inviting lead authors from major critical care trials to present and defend their work. In fact, this is going so well that this year he appears to have convinced the editor of the NEJM to coincide publication of one of the most eagerly awaited ICU studies of the year (ADRENAL1) with the…

101 Reflective Lessons from a Year with Sydney HEMS. Part Three: Clinical

This post, detailing my reflections on clinical retrieval medicine, is the third in a series recording my reflections on the past twelve months, which I have spent working for Sydney HEMS in prehospital and retrieval medicine. The first post covers medical education – you can find it here1. The second covers human factors – you can find it here2.

This post is about the clinical lessons I’ve…