Tag: critical appraisal

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

St Emlyn’s in Review – October 2017

It’s great to be back podcasting again after what has been a busy few months, We’re sorry for the hiatus, but occasionally other stuff gets in the way! Here we review some of the amazing

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

JC: The VTE and Major Trauma. St.Emlyn’s

All good EM/CC clinicians know that venous thrombo embolism (VTE) is a potential complication of traumatic injury. The immobilisation and haematological changes associated with signficant injury are reasonably well described. Additionally there are controversies over

JC: Apnoeic Oxygenation (again). St.Emlyn’s

  We’ve debated Apnoeic Oxygenation on St.Emlyn’s in the past1. Physiologically it kind of makes sense. The idea that we can put ‘Os up the Nose’ (as someone cleverer than I suggested) to avoid premature

Hypothermia in status epilepticus. St.Emlyn’s

It seems as though hypothermia is the therapy that never quite gets there. The Targeted Temperature Management1,2 trial showed no benefit post ROSC and the RINSE trial 3,4 showed no benefit before ROSC. We’ve also

10+1 papers for the Northern Emergency Medicine conference. St.Emlyn’s

I had the honour to speak at the very first Northern Emergency Medicine conference back in 2014 (I think). I had a fantastic time and met so many enthusiastic and superb emergency clinicians. This year

Critical Appraisal Nuggets – The St.Emlyn’s CAN Podcast

Critical Appraisal of the medical literature is a key part of the armamentarium of a good Emergency Physician, not just to pass tricky exams, but also to stay up to date with new evidence. We are

JC: Helmets or masks for NIV. St.Emlyn’s

We use a lot of NIV in Virchester. It’s a great technique that can be started in the emergency department as a supportive therapy or as a bridge to intubation and ICU care. The machines

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