Musings form the evidence based journal club at St Emlyns
Category: Journal Club
JC: Conservative management of chest trauma. St Emlyn’s
We have previously blogged on the topic of chest tube/drain management1. In one of our most widely read posts we argued that many pneumothoraces can be managed without a chest drain. When trained as a …
JC: Hypothermia in brain injury: The POLAR trial. St Emlyn’s.
Paradoxically hypothermia has been a ‘hot’ topic in emergency medicine and critical care for many years. There is good laboratory, animal and pathophysiological data to suggest that it should be neuro-protective in a broad range …
JC: Cricoid Pressure and RSI, do we still need it? St Emlyn’s
This blog reviews the first large randomised controlled trial of cricoid pressure in emergency patients as published in JAMA Surgery, October 2018. Cricoid pressure is controversial. Although it has been taught in anaesthesia practice, since …
JC: The Zero Point Survey. Optimising resuscitation teams in the ED. St Emlyn’s
This blog explains the rationale for the zero point survey1–3. This starts before the primary survey that we are all familiar with and is a means of optimising the performance of resuscitation teams in critical …
JC: OOHCA and Airway management. Do we need a tube? St Emlyn’s
If out-of-hospital cardiac arrest and outcome data is the topic, long is the list of research and passionate is the debate on every possible measurable outcome from pit crew CPR to methodology of compression …
Moral Injury in Emergency and Pre-hospital care. Esther Murray on St Emlyn’s podcast
This week we recorded a podcast inspired by a recent publication in the EMJ. Esther Murray aka @EM_Healthpsych is a psychologist working in London. You can listen the podcast by clicking on the link below. …
JC: Does Epinephrine work in Cardiac Arrest. St Emlyn’s
Epinephrine use in cardiac arrest is controversial1,2. Despite patho-physiological arguments3,4 that it can improve brain perfusion and even that it may improve the rate of ROSC (Return of Spontaneous Circulation) many have expressed the concern …
JC: Tamsulosin and Renal Colic. St Emlyn’s
Renal colic really hurts, believe me I know! It’s one of those conditions that we see in emergency medicine where it really does not matter who you are, if you have good going colic you …
JC: Fluid resuscitation in paediatric DKA. St Emlyn’s
Over the years I’ve had some interesting, and not entirely positive interactions when treating diabetic ketoacidosis in kids. These usually focus around some very strongly held views that unless you do exactly what the other …
JC: TICH TICH BOOM? TXA in ICH. St Emlyn’s
TXA. Huh. Good god y’all. What is it good for? Absolutely everything. This appears to be the alternative hypothesis for the TICH-2 study 1, published last week in the Lancet. Off the back of recent …