Defend the diastolic, tailor treatment to phenotype, make the Shock call EARLY

Cardiogenic shock in the ED: Spotting CS in heart failure. Staging severity. Phenotyping.

Cardiogenic shock in the ED. Why we miss it. How to recognise it. The 3 S's.

Gastroenteritis vs sepsis, pause points, Bayesian reasoning, "finessing the discharge"

A collection of snippets from recent Coffee & Cases sessions

Silver trauma, the STUMBL score, pnuemoperitoneum, tribalism

My thoughts on how healthcare organisations can reliably create and harness knowledge in a changing world.

A large language model for rapid, context-specific retrieval of institutional knowledge on the shopfloor

From binary thinking to Bayesian reasoning

My take on sepsis, circulation management in septic shock, peripheral noradrenaline

My take on sepsis, circulation management in septic shock, peripheral noradrenaline

Managing personal performance when the emergency alarm goes off.

I was interviewed about my quality improvement work by my good friend Robin Pap - Paramedicine academic and QI legend...

Ketamine calamities, refractory laryngospasm, emergency PEEP

Cardiac tamponade, pericardiocentesis, aortic dissection + tamponade

The sickest asthma patients (periarrest or worse), finger thoracostomies, VV ECMO

When to start NIV in COPD, ABGs vs VBGs, IV morphine and the "RV Death Spiral"

I'm an Emergency Physician in London. I blog about my job. Click to read Dr. Robert Lloyd's Substack, a Substack publication. Launched 2 years ago.

When to stop the resus, intra-arrest thrombolysis, and new RBBB

Peer-reviewed publication in the Prehospital Emergency Care journal

The objective of this quality improvement (QI) study was to improve organizational learning from clinical debriefs known as “Coffee and Cases” (C&C) in a helicopter emergency medical service (HEMS)...