Can clinical probability guide D-dimer thresholds and reduce imaging for suspected pulmonary embolism? Dan Horner appraises the PEGeD management study, examining follow-up outcomes, assay units, possible selection bias and the limited evidence for moderate-risk patients, with a perspective on applying the findings in different settings.
JC: Pulmonary Embolism – The PEGeD study Read More
A review of the CRASH-3 trial and whether tranexamic acid (TXA) is of benefit in traumatic brain injury patients.
Tranexamic Acid (TXA) in Head Injury: CRASH-3 results Read More
How should we assess and reduce venous thromboembolism risk after lower-limb immobilisation? Dan Horner reviews the 2019 TiLLI project, examining thromboprophylaxis evidence, risk assessment tools and cost-effectiveness, while highlighting uncertainty about which patients benefit and how to communicate that risk.
Thromboprophylaxis in Lower Limb Immobilisation #RCEMASC2019 Read More
Cliff Reid demonstrates the Zero Point Survey in a video showing its use in prehospital and hospital settings. The post introduces the STEPUP framework as a structured approach to preparing for and beginning the care of critically ill patients.
New Zero Point Survey Video from Cliff Reid. St Emlyn’s Read More
What is actually in a bag of packed red blood cells? This appraisal revisits a 2001 laboratory study of stored blood, exploring acid–base and electrolyte changes while distinguishing measurements in the bag from evidence of their effects on patients.
JC: The metabolic and biochemical characteristics of packed red cell transfusions. Read More
Ashley Liebig draws on her experience with helicopter emergency medical services to discuss psychological performance in resuscitation. This St Emlyn’s Live talk, available as video and audio, focuses on working under pressure when decisions are urgent and information is incomplete.
Psychological performance in the resus room. Ashley Liebig at #stemlynsLIVE Read More
A satisfying day in emergency medicine may be the worst day of a patient’s life. Simon Carley explores this tension, asking how enthusiasm for procedures and clinical challenges can coexist with empathy, thoughtful decisions and attention to what the patient needs.
The great day paradox. St.Emlyn’s Read More
Must stable patients with recent-onset atrial fibrillation undergo immediate cardioversion? This 2019 appraisal compares early cardioversion with a rate-control and delayed approach, examining a non-inferiority trial’s outcomes, spontaneous conversion and the questions it leaves about complications and practical care.
JC: Should we rapidly cardiovert AF in the ED? St Emlyn’s Read More
