Category: Journal Club

Musings form the evidence based journal club at St Emlyns

JC: So long Salt and Saline? St Emlyn’s

Simon has already covered the recent SMART trial1, regarding the comparison of balanced crystalloid solutions versus normal saline for resuscitation in critically ill adults. However, there was another paper in the same edition of the

JC: Balanced fluids vs Saline on the ICU. The SMART trial. St Emlyn’s

There has a been a little flutter of activity in the #FOAMed world this week about two trials published in the NEJM on the subject of balanced fluids in the care of critically ill patients,

JC: More on alcohol sniffing and nausea. St.Emlyn’s

Just a quickie this week as I am so busy with planning the SMACC party, the St.Emlyn’s LIVE conference and the Teaching CooP course in Manchester. I’m also off to #BadEMFest18 in a few weeks

Podcast: September 2018 round up of the St Emlyn’s blog

Here’s the September podcast round up of the St Emlyn’s blog. For some reason this did not get published back in 2018, so here it is now 🙂 The following blogs are discussed. OOHCA and

DBI devaststing brain injury stemlyns

JC: Devastating Brain Injury. Complex decisions in the resus room. St.Emlyn’s

Social media can sometimes give the impression that all is rosy in the world of resuscitation. We hear of the amazing saves, the wonders of ECMO, helicopters and heroic acts with great outcomes, but the

JC : Paracetamol, NSAID’s or both in MSK trauma. St.Emlyn’s

 Pain… patients complain about it… A LOT. It’s the commonest reason for attending emergency departments across the globe so we should be (and need to be) pretty good at treating it. With that in mind I

JC: Subarachnoid Haemorrhage, Decision Rules & Overtesting Headaches

Headache is a pretty common reason for presentation to the Emergency Department – so common, in fact, that it has two curriculum sections of its own (and we’ve already produced an induction post about headaches that

JC: Does earlier TXA save lives? St.Emlyn’s

Administration of tranexamic acid (TXA) is integral part of the management for major trauma patients in the UK. It is deemed such an important aspect that its administration is used as a quality indicator to

Is cMyC the new troponin?

Anyone who reads the news is likely to have seen the recent paper in Circulation evaluating a new biomarker of acute coronary syndromes: cardiac myosin binding protein C (cMyC) . This paper has been covered

JC: Oxygen in ACS. A fuss about nothing? The DETO2X Trial at St.Emlyn’s

DETO2X-SWEDEHEART sounds like a new low-carb, high-alkali, So-Cal diet plan but it is actually a trial exploring the affect of oxygen on mortality in patients with a suspected acute coronary syndrome (ACS). There is a

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