#hmp2

Our conference report from 11th Kongress der Arbeitsgemeinschaft fur Notfallmedizin @stemlyns Blog themes on trauma, cardiac arrest and research . #FOAMed

This month I was in Graz, Austria at the 11th Kongress der Arbeitsgemeinschaft fur Notfallmedizin. Although EM is not a primary speciality in Austria it is very clear that there are many clinicians who are interested in emergency care. There is always an English only track and so I would defo recommend a trip out here if you want to learn about EM in a wider Europe and without a focus on the…

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: Can we really use IO blood for analysis? St Emlyn's #FOAMed #dogmalysis Does anyone actually do this in practice? IO usually rejected here. Evidence very poor in critically ill patients

For as long as I can remember I’ve been told that it is possible to analyse marrow from an intra-osseous (IO) needle. It’s been taught on lots of APLS courses I’ve attended (Ed – in other words you’ve taught it!), but can it really work? There are many recommendations suggesting good correlation, but those who have read the evidence have suggested that the data in critically unwell patients may…

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…

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: Should non ST elevation ROSC patients go to cath lab? St.Emlyn’s

It’s another busy day in Virchester and you are put on standby for a 68 year old make who has had an out of hospital cardiac arrest. Fortunately it was a witnessed arrest and there was good bystander CPR. The patient had early defibrillation from the a first aider trained in the use of an automatic defib. The paramedics arrived soon after to confirm a return of spontaneous circulation (ROSC)…

JC: Intubate or not intubate? That is the question…

    Clinical scenario:

A multi-morbid, elderly patient with renal failure and recently diagnosed hyperkalaemia suffers a cardiac arrest in your busy resuscitation area before you can start appropriate treatment. You start CPR with a fully available team and give instructions to treat the reversible cause during chest compressions. One of your very keen senior trainees (who has just returned from…

London Cardiac Arrest Symposium #LTC2015 St.Emlyn’s

Well, the last day of a great four days came and went, and focused on core topics in trauma, and the cardiac arrest symposium. I spent all day in the symposium, but saw a lot of good things on Twitter (other web-based microblogging applications are available) from the other room, including a talk from a cardiac arrest survivor on her experience, and Conrad Witekon suspended animation in cardiac…