Category: Journal Club

Musings form the evidence based journal club at St Emlyns

St Emlyn’s 2018 Critical Appraisal book.

We are delighted to share the latest e-book from the St Emlyn’s team. This collates key critical appraisals from the team, published in 2018. This is the collection of journal club posts from the St

JC: Do you see the light? Serum neurofilament light chain for prognostication following OOHCA

I’ve been meaning to do a blog on this paper for some time now. Paul Young, who’s opinion I have a lot of time for, seemed clearly excited about its release. And in December at

JC: Should we premedicate for ketamine sedation? St Emlyn’s

Here in Virchester we believe that we were early pioneers of conscious sedation in the UK. It’s something we adopted as a routine procedure back in the 90s, in both adults and children, and so

Trauma in the UK, who cares? St Emlyn’s

We care about trauma. All of us are practising clinicians in healthcare and all of us see trauma in our clinical jobs. Some of my most memorable cases are the saves that the team has

StE Journal Club: a Christmas Games of Thrones issue

Disclaimer #1: this is a Christmas edition of our regular journal club so expect it be as light-hearted as it is academic Disclaimer #2: please do not proceed to read this blog post if you

Podcast: November 2018 round up St Emlyn’s

November was a busy month for the St Emlyn’s team with a variety of blogs on conferences, EBM, philosophy and education. Here’s the podcast and the links to the blogs mentioned in November. Click on

JC: Conservative management of chest trauma. St Emlyn’s

We have previously blogged on the topic of chest tube/drain management1. In one of our most widely read posts we argued that many pneumothoraces can be managed without a chest drain. When trained as a

JC: Hypothermia in brain injury: The POLAR trial. St Emlyn’s.

Paradoxically hypothermia has been a ‘hot’ topic in emergency medicine and critical care for many years. There is good laboratory, animal and pathophysiological data to suggest that it should be neuro-protective in a broad range

JC: Cricoid Pressure and RSI, do we still need it? St Emlyn’s

This blog reviews the first large randomised controlled trial of cricoid pressure in emergency patients as published in JAMA Surgery, October 2018. Cricoid pressure is controversial. Although it has been taught in anaesthesia practice, since

St Emlyn's Cliff Reid Simulated patient

JC: The Zero Point Survey. Optimising resuscitation teams in the ED. St Emlyn’s

This blog explains the rationale for the zero point survey1–3. This starts before the primary survey that we are all familiar with and is a means of optimising the performance of resuscitation teams in critical


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