Sedation in the ED
An overview of sedation in the Emergency Department
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Right from the start the Emergency Medicine podcast brought to you from The Heart of England NHS Foundation Trust. Evidenced based podcasts based on EM presentations
An overview of sedation in the Emergency Department
So we're here at SMACC being treated to a fantastic conference and some superb talks. Last night (Day 1) closed with a superb panel of exper...
Over the last few episodes we've talked about the use of vasopressors and their utility in resuscitation. It is a commonly held belief that...
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In this podcast we are going to be talking about inotropes and vasopressors. And we're going to be talking about them with re...
Trial of Early, Goal-Directed Resuscitation for Septic Shock NEJM March 17 2015 Sepsis has been in the EM literature a lot over the past 12...
You're in resus leading a cardiac arrest. Lying on the trolley is Dave, a 45 year old male, known hypertensive and type 2 diabetic. He colla...
Fluid resuscitation represents the bedrock of initial treatment in the critically ill and injured patient with shock. In septic shock, fluid...
Since Rivers's publication of Early Goal Directed Therapy (EGDT) at the turn of the century clinicians have talked about aggressive resuscit...
Everyone asks about Framingham risk factors when taking a history for possible ACS but what significance do they actually hold?
A contentious subject in the ED but how would it work??
A look at the impact that a prolonged cause in CPR has on the associated outcome.
A patients lactate is something that we often want to know, but how much do you really understand about it's significance and what is lactat...
A round up of some of the key papers that we've reviewed over the 12 months that HEFTEMCAST has been running
Sepsis is a hot topic at the moment. In this episode we look at the transfusion targets for patients with septic shock when on ITU
Whilst the embedded management of the airway in ED is via direct laryngoscopy, advances in technology and equipment leads to multiple altern...
The ARISE trial, following on from the ProCESS trial, is there a different message or is EGDT a thing of the past?
Everything we do in the Emergency Department is a test, be that a question, looking for a clinical finding or performing a 'traditional' tes...
Ultrasound is becoming a key part of Emergency Medicine. It's potential applications are vast and use throughout the UK is spreading fast. W...
Controversy exists over the transfusion thresholds and goals in patients with acute upper GI bleeds. In this episode we look at scoring syst...
A look at a risk stratifying tool for patients presenting with an undiagnosed collapse. Is this of use in this tricky and common presentatio...
We hear from David Raven, Emergency Medicine Consultant at The Heart of England Foundation Trust about the exciting new HECTOR Project; Hear...
What we need to know regarding prescribing these drugs in the ED
In acute severe asthma how much difference will magnesium make to our patients and what is the best route?
An evidenced based look at CT scanning in trauma.
A look at recent guidelines on the management of a failed intubation drill.
A look at this really important paper on the use of early goal directed therapy in septic shock. Is it time to change our practice?
Is there an easy and safe way to decrease the number of D-dimers we are requesting??
We all get encouraged to prescribe i.v. fluids as soon as a drunk patient pitches up to the ED but does it actually convert into a speedier...
A look at a key paper from Perry in the BMJ looking at the sensitivity of non contrast CT head scans soon after the onset of a thunderclap h...
On initial glance the diagnosis or rule out of acute coronary syndrome is easy but the more you read the more complex it becomes. In fact wo...
So previously we've discussed the utility of ETCO2 for the prognostication of cardiac arrests but what about it's role in the diagnosis of e...
A look back at a practice changing publication from the Lancet on TXA in trauma.
Is cooling patients following cardiac arrest following the recent NEJM Targeted Temperature Management paper (TTM)?
Fixed dilated pupils following ROSC, surely that's destined to be a devastating neurological outcome? In this episode we look at this and ot...
Welcome to the first episode of HEFT EMCAST, this episode we'll be looking at a paper specifically on the utility of ETCO2 and it's value in...