Tag: critical appraisal

JC: Salt or Sugar? Hypertonic saline for head injury at St.Emlyn’s.

‘Why did you give Mannitol?’ asked the Registrar. ‘Hypertonic saline was the standard of care for head injury at St.Elsewhere and I was told it reduced mortality’. OK, so that’s a paraphrased recollection from some

JC: Should we glue cannulas to patients? St.Emlyn’s

Use of glue cyanoacrylate to secure peripheral intravenous cannula. St.Emlyn’s. randomised controlled trial critical appraisal.

JC: Can alcohol relieve nausea. St.Emlyn’s

Whilst I was a medical student, I ran several ‘n of 1’ clinical trials, principally investigating whether alcohol could reduce nausea. My notes from these studies were incomprehensible scrawls, and in all honesty the results

JC: High sensitivity Troponin I on presentation. Is it enough to rule out ACS? St.Emlyn’s

As you surely know we love thinking about Troponin at St.Emlyn’s. We have our own world expert in Rick Body and there is loads of stuff here on the site about the use (and abuse)

Nil nocere: do no harm reversing warfarin!

A familiar scenario: You are on duty and your standby phone goes off just as you have come back from your coffee break. The ambulance cell informs you that they are bringing in an elderly

JC The REVERT trial: Dip or doom for SVT in the Emergency Department?

SVT (supraventricular tachycardia) is something we see a lot of in Emergency Medicine.  Any emergency physician will tell you exactly how satisfying it is to treat a patient with SVT.  There must be close to a

JC: Do all VTE patients need a CT for cancer?

Virchester has a long history of research in the ambulatory management of venous thromboembolism. Several MDs and PhDs have been completed here looking at both therapeutic and diagnostic strategies in this rather tricky group of

JC: Don’t Write off the Respiratory Rate – Part Two

So, now we know what to do with an unexplained abnormal respiratory rate in a baby – but how do we know what constitutes an abnormal respiratory rate? That’s the question behind the second paper

JC: Don’t Write off the Respiratory Rate – Part One

Two really interesting PEM-relevant papers appeared online first in Archives of Disease in Childhood in July – and happy days, both are FOAM! What’s great about these papers is how they compliment each other in

JC: Pain free PASTIES in the ED. St.Emlyn’s

We are big fans of analgesia in Virchester. Pain is an important reason why patients come to the ED (though not the only reason see this), and managing pain should be an important priority for

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