Emergency Medicine

A hypothetical nightclub presentation explores striking cyanosis with unexpectedly reassuring clinical signs. This 2012 teaching case considers methaemoglobinaemia, interpretation of blood gas results, possible drug exposures and the importance of specialist poisons advice when treatment does not work as expected.

Does reaching hypothermia sooner after cardiac arrest improve outcomes? This 2012 journal club examines an observational study of cooling times, using its results to explain relative risk, absolute risk and number needed to treat while questioning whether confounding could explain the apparent benefit of later cooling.

St Emlyn's launched its Twitter journal club in 2012 to take critical appraisal beyond the department. This post explains how shared papers, live discussion and subsequent blog summaries were intended to help colleagues learn together despite different locations and shifts.

Could changing D-dimer thresholds reduce unnecessary CT pulmonary angiography? This 2012 journal club examines a retrospective study, questioning how patients were selected, how risk was assessed and whether small subgroups can support changes to investigation pathways.

When a child's low blood glucose improves, what still needs explaining? In this 2012 discussion, Natalie May explores hypoglycaemia beyond diabetes, the possibility of underlying illness, and the decisions around investigation, observation and referral to paediatric colleagues.

Can ultrasound improve assessment of suspected skin and soft tissue infection in children? This 2012 journal club introduction questions whether finding an abscess necessarily improves outcomes, and raises concern about unnecessary interventions before linking to further ultrasound learning resources.