How can hospitals learn from a major incident while protecting those affected? This May 2021 post introduces the published hospital data from the Manchester Arena bombing, explaining the ethical challenges of reporting identifiable events and the development of a dedicated trauma-registry module.
Manchester Arena Bombing data now published in EMJ. St Emlyn’s Read More
Why can clinicians read the same evidence and reach different conclusions? Simon Carley uses a Bayesian analogy to explore how prior beliefs shape critical appraisal and thresholds for changing practice, suggesting ways to recognise those beliefs before interpreting a new paper.
Bayes and Belief: How pre-review belief influences critical appraisal. St Emlyn’s Read More
How can we judge the quality of online medical education? Simon Carley and Peter Brindley discuss FOAMed assessment tools, the limits of numerical ratings and why readers still need critical appraisal and primary sources.
Podcast – Assessing on-line medical education resources with Peter Brindley Read More
An April 2021 guide to CODA’s online talks and discussions across education, ethics, health and the environment. Simon Carley highlights resources on evidence-based medicine during COVID-19 and the clinical and ethical challenges of responding to the pandemic in Yemen.
CODA update and links. St Emlyn’s Read More
A March 2021 appraisal of anticoagulation trials in critically ill patients with COVID-19. Simon Carley and Dan Horner examine therapeutic-dose versus usual-care thromboprophylaxis, organ support outcomes and bleeding, explaining why the findings cannot simply be extended to ward patients or treatment of confirmed thrombosis.
JC: Thromboprophylaxis on the ICU for COVID-19 patients. St Emlyn’s Read More
Iain and Simon revisit February 2021 on the St Emlyn’s blog and podcast. The accompanying article links cover TIA risk assessment, proposed emergency care standards, tocilizumab evidence, TXA for epistaxis and conversations with patients about COVID-19 risk.
Podcast – February 2021 Monthly Round Up Read More
A March 2021 review of the RECOVERY convalescent plasma preprint in hospitalised patients with COVID-19. It examines the absence of a survival benefit, donor antibody testing and subgroup findings, and reflects on why promising treatments still need randomised evidence.
JC: Convalescent plasma (still) does not work in COVID-19. St Emlyn’s Read More
What can a specialist prehospital service teach us about a rare emergency airway procedure? This review of London Air Ambulance’s 20-year cricothyroidotomy experience separates procedural success from patient survival and considers the implications for training, preparation and interpreting retrospective data.
JC: Real world cricothyroidotomy experience. St Emlyn’s Read More
