Musings form the evidence based journal club at St Emlyns
Category: Journal Club
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 …
JC: Can we really use IO blood for analysis? St Emlyn’s
For as long as I can remember I’ve been told that it is possible to analyse marrow from an intra-osseous (IO) needle. It’s been taught on lots of APLS courses I’ve attended (Ed – in …
JC: Virtual Reality for Distraction from Paediatric Procedural Pain
Ed – At the SMACC conference our good friend and simulation guru Jesse Spurr 1 talked about virtual reality as a future technique for education and for therapy. It’s an area that we’ve not really …
JC: Should we use chest compressions in traumatic cardiac arrest? St Emlyn’s
This is a question that we’ve addressed on the blog before and the evidence has been a little conflicting1–6. From a pathophysiological perspective the logic of using closed chest compressions in a patient who has …
JC: Should we rapidly cardiovert AF in the ED? St Emlyn’s
If I develop AF then I reckon I’d be able to spot it pretty quick, and I’d get myself down to ED pronto so that I could get myself cardioverted having read the excellent work …
JC: Enter Sandman – Which Agent as Second Line in Paediatric Status Epilepticus?
Appraisal and reflections on the recently published ConSEPT and EcLiPSE trials – what do they mean for the treatment of paediatric status epilepticus?
April 2019 round up podcast. St Emlyn’s
Here’s our regular monthly audio podcast round up of the best of the blog. Looks like I forgot to press go on this back at the beginning of May. So apologies for the late review.