The St.Emlyn’s Podcast

Ep 275 - Targeted Resuscitation, Arterial Lines, Hydrofluoric Acid Burns Treatment and more (August/September 2025)

Nov 11, 2025
This discussion dives into fascinating advancements in resuscitation science. The hosts explore arterial line placements during cardiac arrest and the PECAN trauma rule for kids. They tackle the complexities of treating hydrofluoric acid burns and the innovative use of intra-arrest stellate ganglion blocks. Moral injury among emergency responders is candidly examined, while future predictions for emergency medicine spark intriguing debate. Plus, insights from the recent Geckos Global Health and Emergency Care Research Summit add a global perspective to the conversation.
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ANECDOTE

Video-Reviewed Arrests From A Quaternary Center

  • Simon described a quaternary center that videos arrests and attempted arterial lines in 82 of 375 arrests with mixed success.
  • The study showed feasibility but no survival benefit, highlighting confounders and selection bias.
INSIGHT

Moral Injury Has Multiple Pathways

  • Moral injury among emergency responders stems from violated values, loss of trust in others, self, and authority.
  • Different career stages show different causes, so tailored support is needed rather than one-size-fits-all solutions.
ADVICE

Small Acts Improve Morale

  • Be intentional about small acts of care for patients and colleagues to combat moral injury and low morale.
  • Offer practical support, blankets, tea, and decision-making backing to improve well-being on shifts.
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