Could intranasal ketorolac offer an alternative to intravenous analgesia for renal colic? This appraisal examines a randomised trial comparing the two routes, its pain outcomes and methodological limitations, including how the choice of comparator affects its relevance to UK practice.
Emergency Department Management
Could an emergency department visit be an opportunity to help someone stop smoking? This appraisal examines the COSTED randomised trial of brief advice, an e-cigarette starter kit and referral, alongside its quit-rate findings and the staffing and resources needed to offer the intervention.
When is the right moment to perform a high-stakes emergency procedure? This reflection uses the Goldilocks analogy to explore the harm of acting too early or too late, the uncertainty between those extremes and how training and peer review might develop judgement.
Listen to the podcast about the management of button battery ingestion recorded live at the Premier Conference 2024.
PodcastEvidence-Based Medicine
A Critical Appraisal Nugget about Positive and Negative Predictive Value and their use when interpreting diagnostic tests.
How feasible is a definitive trial of lidocaine patches for older patients with rib fractures? This appraisal examines recruitment, treatment crossover and follow-up in a randomised feasibility study, explaining why its clinical findings cannot establish whether patches improve pain or recovery.
Practical perspectives on trauma care and team leadership.
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