Musings form the evidence based journal club at St Emlyns
Category: Journal Club
JC: ISARIC. Possibly The Best COVID-19 Risk Prediction Tool To Date
Has your department been relying on clinical gestalt to risk stratify patients, perhaps using something you heard or read about in a short paper (perhaps Twitter), maybe something like post-exertional oxygenation has caught your eye, …
JC: TXA in severe head injury. St Emlyn’s
Our post on the CRASH-3 trial, an RCT examining the use of TXA in head injury, was arguably our most controversial of 2019 (1). Our view was that the evidence was not entirely definitive, but …
JC: Does post exposure prophylaxis (with HCQ) work in Covid-19?
The utility of hydroxychloroquine in the management of Covid-19 often seems to be more of a political than a medical debate. Many politicians, journalists, hacks, and a whole range of social media experts have an …
JC: Haloperidol for Headaches. St Emlyn’s
Lone acute severe headaches are a common and sometimes complex presentation to all Emergency Departments. There are obviously life threatening causes of a headache that we rule out with judicious history taking and examination. The …
Top 10 trauma papers 2019-2020 for Liverpool Trauma Seminars. St Emlyn’s
This week I am presenting (virtually) at the Liverpool Trauma Seminar. This is a new initiative that aims to provide a multispeciality, multidisciplinary trauma conference in the North West of England. It’s run out of …
Dexamethasone, COVID-19 and the RECOVERY trial. St Emlyn’s
We have previously covered the RECOVERY trial on St Emlyn’s noting that the first results out of this large pragmatic, adaptive design platform RCT showed no benefit to Hydroxychloroquine. A few weeks ago a press …
COVID-19 Journal Club: The Director’s Cut #5
We have searched every COVID-19 publication, and summarised the literature of everything published in the last week. We have highlighted those papers that will be of interest to EM clinicians on the front line. This …
COVID Journal Club #8 – The Webinar. Thursday 18th 11am BST
We took a well earned break last week from the weekly Covid19 webinar and journal club, but we are back on Thursday with 51–5+1 papers to keep us all thinking about how we use science …
May 2020 round up podcast
It’s been another month of Covid complexity and more. I got together with Iain Beardsell to talk through the highlights of the month on the blog and podcast. Much has changed in May. We are …
The RECOVERY platform trial: No benefit to Hydroxychloroquine in Covid-19. St Emlyn’s
We’ve talked about the RECOVERY trial on the blog and podcast before. This is a UK based platform trial (more on this later) looking at patients admitted to hospital with Covid-19. It’s an open label …