Journal ClubEvidence-Based Medicine
PECARN, CHALICE or CATCH: how should we compare decision rules for children with head injuries? This 2014 journal club examines a prospective comparison, weighing sensitivity against specificity and exploring how sample size, confidence intervals and the handling of observation affect the apparent winner.
Do clinicians and parents mean the same thing by ‘bilious’ or ‘projectile’ vomiting? This paediatric teaching post explores how language can obscure important findings, using vomiting in babies and children to illustrate clearer history-taking and recognition of possible surgical illness.
What can a conference built around social media offer a clinical researcher? Reflecting on SMACC Gold in 2014, Rick Body argues that accessible presentation, open education and online discussion can help research reach practising clinicians and make its findings useful beyond the journal page.
Journal ClubEvidence-Based Medicine
How well do prehospital triage tools identify major trauma in children? This 2014 journal club examines a PERUKI study, exploring over-triage, the uncertainty created by very few seriously injured patients, and the problem of testing ambulance tools in children who arrived without an ambulance.
Natalie May reflects on feeling like an impostor while speaking at SMACC Gold in 2014. Her account explores the pressure of teaching people whose opinions matter deeply, the support of the FOAM community and finding value in a contribution despite persistent self-doubt.
Could ROTEM help identify coagulation problems beyond trauma patients in the resuscitation room? This 2014 journal club reviews a small study in hypovolaemic shock, examining recruitment difficulties, the distinction between correlation and agreement, and the limits of an early proof-of-concept study.
Practical perspectives on trauma care and team leadership.
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