
St.Emlyn’s – Emergency Medicine #FOAMed This post is from Australia and was brought to us by Dr Ben McKenzie. The events that precede this blog are …
Just a routine resuscitation. The AMAX4 algorithm for anaphylaxis/asthma. St Emlyn’s
In memory of Dr John Hinds

St.Emlyn’s – Emergency Medicine #FOAMed This post is from Australia and was brought to us by Dr Ben McKenzie. The events that precede this blog are …
Just a routine resuscitation. The AMAX4 algorithm for anaphylaxis/asthma. St Emlyn’s
An inquest has heard that a 19-minute delay in attempting to intubate a critically ill teenager at Box Hill Hospital may have cost him his life, with one expert telling the court the missed ten-minute window “really sealed his fate”. Max McKenzie, a beloved 15-year-old, died in August 2021, nearly two weeks after suffering a
— Read on tanea.com.au/en/inquest-hears-delays-at-box-hill-hospital-sealed-the-fate-of-dying-teen-max-mckenzie/
Four years after a 15-year-old boy died due to a nut allergy, a Victorian coroner is examining if the death was preventable and whether paramedics and doctors at the Box Hill Hospital provided appropriate care.
— Read on www.abc.net.au/news/2025-11-29/max-mckenzie-nut-allergy-coronial-inquest/106022338
Difficult Airway Society 2025 guidelines for management of unanticipated difficult tracheal intubation in adults – British Journal of Anaesthesia
— Read on www.bjanaesthesia.org/article/S0007-0912(25)00693-2/fulltext
Cardiopulmonary resuscitation (CPR) aims to limit hypoxic injury by providing oxygen to brain and heart tissues during cardiac arrest. There has been an increase in reports of patients exhibiting signs such as eye opening, limb movement, agitation, or even interference with resuscitation maneuvers while receiving CPR. These manifestations cease when chest compressions are stopped, even without achieving return of spontaneous circulation (ROSC). This phenomenon is termed CPR-induced consciousness (CPRIC). CPRIC cases are typically associated with cardiac arrest of cardiac origin, shockable rhythms, and witnessed arrests with timely CPR. Here, we present the case of an 80-year-old man who collapsed in a public setting. During resuscitation by Bystanders, the patient showed purposeful movements and vocalizations, leading to incorrect interruptions of compressions due to presumed ROSC. Once CPRIC was recognized, chest compressions and defibrillation continued, achieving ROSC. This case highlights the importance of training prehospital providers to recognize and manage CPRIC, including the potential use of sedatives—such as ketamine—to control movements that interfere with resuscitation. The case also underscores the need for effective communication strategies with bystanders, given the social and ethical implications of CPRIC manifestations. Further research is necessary to establish clear international guidelines and improve clinical outcomes for patients experiencing CPRIC.
— Read on intjem.biomedcentral.com/articles/10.1186/s12245-025-01032-w
Max McKenzie’s parents’ mission to stop others losing a child to anaphylaxis
— Read on amp.nine.com.au/article/c104830a-d9cf-4534-b7df-3322ea164597
Following on from the Medical Directors’ Forum at ITIC Global in Athens in October 2022, a Position Paper has been published on the international aeromedical transport of patients with psychiatric conditions
— Read on www.itij.com/latest/long-read/medical-directors-position-paper-repatriating-psychiatric-patients
Emergency field amputation is an exceptionally sporadic but potentially life-saving intervention in extreme trauma scenarios, particularly in resource-limited environments. We describe a 16-year-old male with a severe crush injury to the proximal …
— Read on pmc.ncbi.nlm.nih.gov/articles/PMC12487335/

St.Emlyn’s – Emergency Medicine #FOAMed The EVIDENCE trial asked if rapid transport with ongoing CPR improves survival in refractory out-of-hospital …
Stay or go? Should we Move Patients with Refractory Out-of-Hospital Cardiac Arrest to Hospital? The EVIDENCE Trial

Off the back of the hugely successful “Own the Oxlyog” guidelines, our good friend, co-creator of our ED Procedures Course and colleague Emergency …
Own the Hamilton T1 Ventilator
This cohort study examines more than 20 years of data for patients with traumatic cardiac arrest to evaluate the association of prehospital resuscitative thoracotomy with survival outcomes.
— Read on pmc.ncbi.nlm.nih.gov/articles/PMC11866073/
From online grievances about migration to men dressed in black in a sea of Australian flags, far-right groups clearly intended to capitalise off events
— Read on www.theguardian.com/australia-news/2025/sep/02/how-neo-nazis-used-the-shield-of-ordinary-mums-and-dads-at-australia-anti-immigration-rallies-to-sell-white-supremacy-ntwnfb
Australia’s migration numbers and policies were the target of March for Australia’s anti-immigration rallies over the weekend. Here’s what experts have to say about their claims.
— Read on www.sbs.com.au/news/article/fact-checkers-assess-march-for-australia-immigration-claims/8yorv67wp
Who’s going to stand up and make Nazis ashamed again? – The Australia Institute
— Read on australiainstitute.org.au/post/whos-going-to-stand-up-and-make-nazis-ashamed-again/

Dr Noemi Welsch talks about her experience of volunteering with the Floating Doctors in Panama. The post Volunteering with Floating Doctors in Bocas …
Volunteering with Floating Doctors in Bocas del Toro