The Best Gift This Season

During the holiday season, most of the people I know acquire more ‘stuff’ and enjoy an abundance of food and drink. That’s because most of the people I know do not belong to the 1.3 billion people in the world who earn less than $1.25 a day. This season is about giving, and yet most […]

Why Do Emergency Medicine?

I was in Edinburgh two weeks ago, examining for the Diploma in Retrieval and Transfer Medicine. From there I flew to Slovenia, where I ran a critical care course and then was invited to give a talk entitled ‘Why I Do Emergency Medicine’. Little did I realise that I’d left behind in Edinburgh a department […]

What It Takes To Be At The Cutting Edge

This talk was presented at the Royal College of Emergency Medicine Annual Scientific Meeting in Manchester in September 2015. You can download the audio here, listen online here, or find it in iTunes at the RCEM FOAMed Network here. A brief summary of the talk and related references are here.

Dabigatran Reversal Agent – Idarucizumab

Thanks to Rob MacSweeney‘s fantastic Critical Care Reviews I learned of Idarucizumab, a monoclonal antibody fragment that binds the (pesky) anticoagulant dabigatran. Two industry-supported studies this week show rapid, complete reversal of anticoagulation in healthy volunteers(1) and patients who were either bleeding or undergoing procedures(2). The dose given to patients was 5g intravenously. An accompanying […]

Inhaled nitric oxide: a tool for all resuscitationists?

The use of inhaled nitric oxide is established in certain groups of patients: it improves oxygenation (but not survival) in patients with acute respiratory distress syndrome(1), and it is used in neonatology for management of persistent pulmonary hypertension of the newborn(2). But it can be applied in other resuscitation settings: in arrested or peri-arrest patients […]