Jan 13
Amazing video from the perimortem c-section session at Incrementum in 2025. #FOAMed @stemlyns Learn how to do it here
seen from Norway
seen from Netherlands
seen from Belarus
seen from United States
seen from Singapore
seen from Türkiye
seen from Yemen
seen from Philippines
seen from Netherlands
seen from United Kingdom
seen from United Kingdom
seen from United States
seen from United States
seen from United States
seen from Norway
seen from Brazil
seen from United States
seen from Germany
seen from Netherlands
seen from United States
Amazing video from the perimortem c-section session at Incrementum in 2025. #FOAMed @stemlyns Learn how to do it here
A JC review of intra-arrest stellate ganglion block for refractory cardiac arrest. Could this novel technique improve ROSC rates? Critical appraisal of scoping review. @stemlyns #FOAMed
Our review of a small Feasibility study on arterial line placement during ED cardiac arrest shows high success and improved ROSC. Is it time to rethink resuscitation monitoring?
Is Diastolic Blood Pressure the New Resuscitation Target
There is increasingly evidence that diastolic blood pressure (DBP) is a crucial resuscitation target in trauma and cardiac care. Based on a great article by Dan and Rich we look at how optimizing DBP may improve survival rates in emergency medicine.
This week I read a great article in the EMJ by Dan Horner and Rich Carden on new resuscitation targets. notably the use of diastolic blood pressure. DBP is the prime driver of coronary perfusion and thus successful resuscitation. Not only in cardiac arrest, but seemingly also in trauma. This blog (with their permission and review) outlines the main points from that article and links their…
JC: Do physician led prehospital teams improve outcomes?
This article explores the impact of physician-led interprofessional pre-hospital teams on survival and mortality outcomes for critically ill and injured patients. The article suggests a benefit, but how robust is that finding?
Background Physicians in prehospital teams are an increasingly common sight in the UK and internationally (though notably rarely in the US). However, this has been controversial and widely debated as to whether it really makes a difference to patient outcomes. This week we have a systematic review and meta-analysis by Lavery et al. that evaluates whether physician-led interprofessional teams…
Optimal Timing for Life-Saving Procedures in Critical Care: Finding the Goldilocks Moment
"Time Critical: Information Light" decision-making is vital in emergency medicine, requiring action with minimal data. The "Goldilocks" principle guides clinicians to find the optimal timing for life-saving procedures #FOAMed @stemlyns
Time Critical: Information Light decision making. A few years ago we described the concept of being able to manage ‘Time Critical: Information Light’ , decision making as one of the key attributes of working in emergency medicine. We illustrated this with the diagram below that illustrates that the earlier you see a patient in their illness, the more uncertainty there is, and as a result the…
Is mCPR associated with better outcomes for in-hospital cardiac arrest? St Emlyn's
Is mechanical CPR associated with improved or worse outcomes in in-hospital cardiac arrest. #FOAMed @stemlyns
Mechanical CPR (mCPR) is widely used as a tool in cardiac arrest management. There are several good arguments to support its use of course, it does not get tired, it can reduce the number of people needed to run an arrest, it can be used to facilitate other procedures such as invasive access/ECPR and it is safer to delver when the patient is being transported (especially where the ergonomics of…
View On WordPress
Decompensated. Liver disease in the ED. St Emlyn's
Estimated reading time: 13 minutes This week I am in Canada, specifically Whistler for the Annual Update in Emergency Medicine CPD conference. This is the second ski resort I’ve done this month, which is odd, because I don’t ski. That said it’s an amazing opportunity to spend time with old and new friends in the spectacular surroundings of the Canadian Rockies. I’ve got three talks this week,…
View On WordPress