JC: Vitamin SCepTiC?
We all love the idea of a magic bullet for sepsis. Despite having had our fingers burnt here before (like this time, and this time and […]
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Evidence Based Medicine
Explore the principles of evidence-based medicine, including critical appraisal, clinical decision-making, and the latest research in emergency and acute care. Our posts help clinicians interpret evidence, apply it to practice, and improve patient outcomes with a scientific approach.
JC: Intubate or not intubate? That is the question…
Clinical scenario: A multi-morbid, elderly patient with renal failure and recently diagnosed hyperkalaemia suffers a cardiac arrest in your busy resuscitation area before you can start appropriate treatment. You
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JC: Are we getting cosy on the septic SOFA? St.Emlyn’s
Identifying, treating and prognosticating patients who attend the Emergency Department with infective symptoms, is part of the bread and butter of an emergency physician’s practice. It’s important that we
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JC: Turn it Down to 11 – Benzos for Back Pain
The topic of lower back pain of undifferentiated origin is one that is close to my heart for at least two reasons. The first one is professional, as daily we
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JC: Cardiac arrest centres and bypass. St.Emlyn’s
The concept of cardiac arrest centres is not entirely new and is something we’ve been talking about in Virchester for some time. Indeed, there are several articles in the literature
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JC: Kicking against the prick: Systematic Review of stroke thrombolysis
I think it’s probably fair to say that stroke physicians and emergency physicians disagree about the utility of thrombolysis in acute ischaemic stroke. They love it, probably because of its
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Hypothermia in status epilepticus. St.Emlyn’s
It seems as though hypothermia is the therapy that never quite gets there. The Targeted Temperature Management1,2 trial showed no benefit post ROSC and the RINSE trial 3,4 showed no
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10+1 papers for the Northern Emergency Medicine conference. St.Emlyn’s
I had the honour to speak at the very first Northern Emergency Medicine conference back in 2014 (I think). I had a fantastic time and met so many enthusiastic and
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