Could cryoprecipitate and tranexamic acid work together to improve trauma outcomes? This 2013 journal club examines observational data from Camp Bastion, highlighting baseline differences, statistical adjustment and the difficulty of transferring findings from a military setting to civilian practice.
JC Cryo + TXA for trauma apparently it also MATTERS. St.Emlyn’s Read More
What did the 3MG trial add to the evidence for magnesium in acute severe asthma? This 2013 appraisal compares intravenous and nebulised treatment with placebo, focusing on admission and breathlessness while stressing that patients with life-threatening features were excluded.
Does Magnesium work in asthma? St.Emlyn’s Read More
A 2013 journal club reviews Louise Cullen and colleagues’ validation of a two-hour strategy using high-sensitivity troponin to assess chest pain. It explores diagnostic performance, the proportion potentially suitable for early discharge and how patient selection and subsequent interventions complicate interpretation.
JC: Cullen on high sensitivity Troponin. St.Emlyn’s Read More
An archived introduction to Developing EM’s September 2013 conference in Cuba. The post highlights the organisers’ aim of sharing emergency and critical care education internationally, connecting visiting clinicians with local colleagues and supporting the systems in which they work.
Developing EM – ethical Emergency Medicine in Cuba. St.Emlyn’s Read More
How often are peripheral intravenous cannulas placed in the emergency department actually used? This 2013 journal club reviews a Melbourne study, considers use after admission as well as in the ED, and asks how teams might reconsider routine cannulation and audit local practice.
JC: Is that IV really needed? Read More
Do changes in vital signs predict trauma outcomes better than a single set of observations? This 2013 journal club examines retrospective TARN data, considering shock index and changes in blood pressure, respiratory rate and heart rate, alongside study exclusions and the small number of deaths.
JC: Delta signs for shock trauma Read More
How should a senior doctor respond when a trainee knows something they do not? Remembering his colleague Luka, Simon Carley explores professional humility, authority gradients and learning from juniors, with practical ways to welcome challenge and share what it teaches us.
How to cope when your registrar knows more than you do. St.Emlyn’s Read More
Published during Joe Lex’s visit to Manchester in April 2013, this short post directs readers to his earlier Forty Years on the Frontline talks. It offers a way to hear his perspective for colleagues who could not attend the evening.
Right here, right now. Joe Lex at St.Emlyn’s. Read More
