Musings form the evidence based journal club at St Emlyns
Category: Journal Club
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 …
JC: Hindsight bias. St Emlyn’s
Here at St Emlyn’s we’ve always prided ourselves on being reflective clinicians. We’ve written blogs on feedback1, reflection2, coaching3 and much more all of which rest on the principle that we it’s important to look …
JC: Tranexamic Acid (TXA) in Head Injury. The CRASH-3 results. St Emlyn’s
St Emlyn’s had sight of a pre-publication copy of the CRASH-3 trial from the trial team. This allowed us to prepare this blog in advance of publication. The trial authors have not been involved in …
JC: Macintosh vs. McGrath laryngoscopy in pre-hospital care.
There has been an ongoing debate about the use of video laryngoscopy (VL) in emergency and critical care1–4. Proponents speak of the better visibility and ability to teach using video systems whereas those preferring a …
JC: Lower GI bleeding guidance. St Emlyn’s
The management of the patient with apparent lower GI (gastro-intestinal) bleeding is, in my experience at least, somewhat variable. Unlike upper GI bleeding where the standards and expectations are reasonably well known1,2, the lower GI …
JC: The Resuscitative Care Unit. St Emlyn’s
Ordinarily when we bring a Journal Club post, it’s because we want to present some form of data that can make a difference to your clinical practice. This week it’s slightly different as we’ve picked …