Category: Journal Club

Musings form the evidence based journal club at St Emlyns

JC: Hindsight bias. St Emlyn’s

Here at St Emlyn’s we’ve always prided ourselves on being reflective clinicians. We’ve written blogs on feedback​1​, reflection​2​, coaching​3​ and much more all of which rest on the principle that we it’s important to look

CRASH-3

JC: Tranexamic Acid (TXA) in Head Injury. The CRASH-3 results. St Emlyn’s

St Emlyn’s had sight of a pre-publication copy of the CRASH-3 trial from the trial team. This allowed us to prepare this blog in advance of publication. The trial authors have not been involved in

Mcgrath vs macintosh laryngoscopes

JC: Macintosh vs. McGrath laryngoscopy in pre-hospital care.

There has been an ongoing debate about the use of video laryngoscopy (VL) in emergency and critical care​1–4​. Proponents speak of the better visibility and ability to teach using video systems whereas those preferring a

JC: Lower GI bleeding guidance. St Emlyn’s

The management of the patient with apparent lower GI (gastro-intestinal) bleeding is, in my experience at least, somewhat variable. Unlike upper GI bleeding where the standards and expectations are reasonably well known​1,2​, the lower GI

resuscitative care unit RCU

JC: The Resuscitative Care Unit. St Emlyn’s

Ordinarily when we bring a Journal Club post, it’s because we want to present some form of data that can make a difference to your clinical practice. This week it’s slightly different as we’ve picked

JC: Can we really use IO blood for analysis? St Emlyn’s

For as long as I can remember I’ve been told that it is possible to analyse marrow from an intra-osseous (IO) needle. It’s been taught on lots of APLS courses I’ve attended (Ed – in

JC: Virtual Reality for Distraction from Paediatric Procedural Pain

Ed – At the SMACC conference our good friend and simulation guru Jesse Spurr ​1​ talked about virtual reality as a future technique for education and for therapy. It’s an area that we’ve not really

JC: Should we use chest compressions in traumatic cardiac arrest? St Emlyn’s

This is a question that we’ve addressed on the blog before and the evidence has been a little conflicting​1–6​. From a pathophysiological perspective the logic of using closed chest compressions in a patient who has

JC: Should we rapidly cardiovert AF in the ED? St Emlyn’s

If I develop AF then I reckon I’d be able to spot it pretty quick, and I’d get myself down to ED pronto so that I could get myself cardioverted having read the excellent work

JC: Enter Sandman – Which Agent as Second Line in Paediatric Status Epilepticus?

Appraisal and reflections on the recently published ConSEPT and EcLiPSE trials – what do they mean for the treatment of paediatric status epilepticus?

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