How do our beliefs and interpretations of evidence shape what we do for patients? Simon Carley introduces his SMACC Gold talk on deciding when to change practice, exploring the place of innovators and sceptics and linking to the debate that followed with Scott Weingart.
What to believe and when to change. St.Emlyn’s at SMACC Read More
Could analysis of the ventricular fibrillation waveform help decide when to defibrillate? This 2014 appraisal examines a randomised trial in out-of-hospital cardiac arrest that found no improvement in survival, considering the study’s limitations and the gap between a plausible technology and demonstrated patient benefit.
JC: Does wave form analysis improve outcome in VF arrest? St.Emlyn’s Read More
What place should chronic disease risk factors have in emergency decision-making? Simon Carley introduces his SMACC Gold presentation, using that question to explore how clinicians’ assumptions, interpretations and beliefs influence their assessment of patients in the emergency department and resuscitation room.
Do risk factors factor in the ED? St.Emlyn’s at #SMACC Gold Read More
A 2014 announcement of Critical Care Horizons, an open-access journal developed by Rob Mac Sweeney and Andrew Ferguson. The founders set out their plans to combine peer review with the discussion and sharing associated with FOAMed, offering free publication and reading across the spectrum of critical care.
Critical Care Horizons Journal. Amazing work from Rob MacSweeney. Read More
A 2014 journal club examines reports of eye injuries after the Boston Marathon bombing and the West, Texas explosion. It considers what these cases reveal about recognising ocular trauma, arranging specialist assessment and including ophthalmology capacity in major incident planning, while acknowledging the limitations of case-series evidence.
JC: Ocular trauma in blast injuries. St.Emlyn’s Read More
A look ahead, written in 2014, to SMACC Chicago in June 2015. The St Emlyn’s team explains the conference’s appeal from a UK perspective, shares a podcast discussion and points to earlier talks illustrating its mix of clinical education, academic debate and entertainment.
SMACC CHICAGO and St.Emlyn’s Read More
After being described as intimidating, Sarah Payne reflects on the gap between how she sees herself and how colleagues perceive her. Drawing on her experiences and research on gender stereotypes, she explores the tension between warmth, competence and assertiveness for women working in emergency medicine.
Am I intimidating? Sarah Payne guest blogs at St.Emlyn’s Read More
Can an observational study overturn the findings of a large randomised trial? This 2014 journal club examines a report questioning tranexamic acid in severe trauma, focusing on treatment selection, excluded early deaths and confounding as reasons to question a striking apparent association with harm.
JC: Tranexamic acid – does the evidence stack up? Read More
