Could a single high-sensitivity troponin I result help rule out acute coronary syndrome at presentation? This 2015 appraisal examines a diagnostic cohort study, distinguishing negative predictive value from sensitivity and asking how the findings fit with ECG interpretation, clinical risk and different patient populations.
This short video introduction describes a turban-style scalp bandage intended to stay in place over a closed wound. It explains the purpose of the demonstration and its important limitation: the bandage does not apply direct wound pressure and has limited use during active bleeding.
Becoming a better learner starts with understanding yourself. In the first part of her series, Natalie May explores motivation, uncertainty, learning from failure and critical reflection, with practical questions for recognising knowledge gaps and seeking feedback that can change clinical practice.
An introduction to educational theories relevant to teaching in emergency and critical care. Prepared for the 2015 Teaching Course in New York, this collection links learning, assessment, deliberate practice and communities of practice, while encouraging educators to question theories rather than treat them as fixed rules.
The EUROTHERM trial tested therapeutic hypothermia for raised intracranial pressure after traumatic brain injury and stopped early after evidence of harm. This 2015 appraisal examines neurological outcomes, trial design and why the timing and position of cooling within an escalation strategy matter when interpreting the results.
A personal reflection on looking after yourself during a career in emergency medicine. Janos Baombe shares ideas about rest, relationships, emotions, interests outside work and asking for help, explicitly presenting them as lessons from experience rather than an evidence-based mental health treatment guide.