Emergency Medicine

A 2022 journal club on the association between delays to hospital admission from the emergency department and 30-day mortality. The review examines a large English dataset, unmeasured illness severity and the limits of drawing causal conclusions from observational evidence.

Could adjusting D-dimer thresholds to clinical probability reduce ultrasound use for suspected DVT? This 2022 appraisal of the Canadian 4D study examines diagnostic safety, excluded patient groups and the challenges of transferring its algorithm into UK pathways.

Rusty Carroll reflects on moving into a leadership role as an advanced clinical practitioner. The post explores prioritisation, breaking work into manageable tasks, building trust, delegation and humility, with lessons intended for colleagues across professional backgrounds.

Simon Carley's SASEM 2022 talk challenges familiar assumptions in resuscitation. The accompanying post explores airway management, chest drainage, calcium, transfusion and team behaviour, asking whether procedures are driven by patient need or clinicians' habits and preferences.

A 2022 review of Essex and Herts Air Ambulance's six-year experience with resuscitative thoracotomy. It considers outcomes after blunt and penetrating trauma, patient selection, timing and the training, governance and transport arrangements needed to support the procedure.

How should patients and clinicians help decide what emergency medicine researches next? This February 2022 post introduces a renewed James Lind Alliance priority-setting exercise, reflecting on earlier funded questions and explaining how ideas were gathered for the next round.