Does this Dutch study show that helicopter emergency medical services fail to improve trauma outcomes? The 2013 journal club challenges that interpretation, examining patient matching, baseline physiological differences and the importance of understanding the trauma system behind the aircraft.
JC: HEMS doesn’t work – at least not for the Dutch Read More
Learning through FOAM is only a start: how does it translate into changes in care? Writing ahead of NHS Change Day in March 2013, Damian Roland explores implementation barriers and the potential of shared commitments to support improvements in practice.
NHS Change day, FOAM in action with Damian Roland Read More
Can a tight ring be removed without destroying it? Simon Carley introduces a video demonstration of the undertaker’s ring method and discusses its limits, including wounds, bony obstruction and pain, with ring cutters available when the approach is unsuitable or unsuccessful.
The undertaker’s ring method. St.Emlyn’s Read More
Not all angioedema is driven by allergy. In this 2012 teaching case, Andy Volans explores recurrent swelling, bradykinin-mediated disease and airway risk, alongside the diagnostic clues and treatment options discussed at the time.
Are you sure that’s allergic?? Angioedema in Scarbrough Read More
Simon Carley looks back at the ideas that changed St Emlyn’s practice through FOAM in 2012. His personal top ten spans airway management, ultrasound, analgesia and children’s medicines, reflecting on how online discussion can challenge established habits and turn learning into action.
The #FOAMtastic 2012 top ten from St.Emlyn’s Read More
Does combining antibiotics improve survival in severe sepsis? This 2012 journal club scrutinises an observational analysis from EduSepsis, exploring differences between treatment groups, confounding and why a reported mortality association does not establish that combination therapy caused the benefit.
JC: Blunderbuss antibiotics in sepsis?? Read More
How impressive are relative reductions in bleeding when the absolute event rates are small? This 2012 appraisal of newer oral anticoagulants for venous thromboembolism examines a systematic review, the comparison with warfarin and concerns at the time about managing major bleeding.
The new oral anticoagulants – the good news – or is it? Read More
How can emergency medicine recruit and retain doctors without minimising the pressures of the job? In this 2012 reflection, Simon Carley argues for valuing trainees, investing in teaching and reconsidering rewards, working patterns and longer-term career options.
A career in Emergency Medicine part 2 (b) Read More
