Musings form the evidence based journal club at St Emlyns
Category: Journal Club
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 …
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: 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, …
JC: Rocuronium or Suxamethoniun for RSI. St Emlyn's
We’re always a little cautious (scared) about entering any sort of emergency airway debate on social media as opinions are usually strongly held, and evidence is often of the lighter variety. One of the more …
JC: Pseudo PEA in the ED. St Emlyn's
I don’t know if this has ever happened to you but when I was still a registrar, often I’d be in the midst of a resuscitation or major trauma case someone much cleverer than me …
Risk scores for cardiac chest pain: the first head-to-head comparison!
Suspected cardiac chest pain: everyone sees it, everyone has a different clinical pathway, and everyone has a different risk score for it. This week the Emergency Medicine Journal published our paper “Comparison of four decision …
October 2019 Podcast round up. St Emlyn's
Our regular round up of the best of the blog from October 2019. vb S
Level Pegging? JC and the PEGeD study @StEmlyns
It’s not often you see a mate as a lead author in the New England Journal of Medicine (NEJM). When you do, it needs celebrating. Hats off to Associate Professor Kerstin de Wit (nee Hogg), …
JC: IN Fentanyl vs Ketamine for analgesia in PED. St Emlyn’s
Last year we reviewed a pilot RCT comparing IN Fentanyl vs IN Ketamine in kids1,2. We concluded that they were probably similar in analgesic effect but that Ketamine had a higher adverse event rate. Here …