Category: #FOAMed

2019 Novel Coronavirus (Wuhan) at St Emlyn's

Thursday afternoon, I brazenly told my director that the coronavirus needn’t warrant immediate concern.  I didn’t want to add to the typical hysteria that leads to people purchasing too many medical supplies that then results

USS guided IVs

JC: Long lines for USS guided peripheral IVs. St Emlyn's

The placing of peripheral IVs is arguably the most common procedure that we do in the ED. However, although common, it’s not always easy and on those occasions when it’s difficult and needed quickly, it

JC: Critical Care Reviews day 2. #CCR20. St Emlyn's

In addition to the presentation of the VITAMINS trial and the PEPTIC trial we also saw a number of other papers presented. These are listed below, but have not been fully critically appraised. We’ll leave

The VITAMINS trial

JC: The Vitamins trial. Hydrocortisone, Vit C and Thiamine (Marik protocol – or not?) in sepsis. St Emlyn's

You may remember the controversy about Paul Marik’s suggestions that a combination of Vitamin C, steroids and Thiamine (sometimes known as HAT​1​) is a cure all for sepsis. There were some rather dramatic claims that

JC: The PEPTIC study PPI vs H2RBs on the ICU. St Emlyn's

The PEPTIC study is a randomised controlled trial of a Proton Pump Inhibitor (PPI) vs. Histamine-2 Receptor Blockers for ulcer prophylaxis on the ICU. Think Omeprazole vs. Ranitidine as your choice of prophylaxis. Although there

JC: The IHME study on the global burden of sepsis. St Emlyn's

Editors note: This blog is based on the presentation of this trial at the Critical Care Reviews conference in Belfast. We will add more data, and be able to add a more detailed critical appraisal

#CCR20

JC: Critical care reviews meeting day 1 #CCR20. St Emlyn's

In addition to the breaking trials at the #CCR meetings a number of other important trials were presented that you should seek out and review. We’ve not done full critical appraisals on these trials, that’s

JC: The 65 trial. Targeting MAP in sepsis. St Emlyn's at #CCR20

Editors note: This blog is based on the presentation of the 65 trial at the Critical Care Reviews conference in Belfast. We will add more data, and be able to add a more detailed critical

A decade of education theory; the rise and rise of cognitive science of learning.

Education theory moves slowly – I could simply finish this blog with “Sweller has tweaked his Cognitive Load Theory a bit but it makes very little difference to the educator on the ground” – so

JC: Journal club book for 2019-2020 published. #FOAMed

We’re delighted to publish the annual St Emlyn’s critical appraisal book this week. It’s a collection of our best critical appraisal blogs and covers over 30 papers that we have found to be interesting, challenging,

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