Musings form the evidence based journal club at St Emlyns
Category: Journal Club
JC: Improving patient flow. St Emlyn’s
Ed – it seems like everything is about Covid-19 at the moment and that’s understandable, but we should not forget other aspects of our work. Whilst patient flow may seem less important as we deal …
JC: Conservative management of pneumothoraces.
When I trained here in Virchester we had a fairly aggressive approach to the management of pneumothoraces. All trauma pneumothoraces got chest drains, a chest drain meant an open one, the size was as big …
JC: D-K-hoorAy! New Paeds DKA guidelines
On Monday, the British Society for Paediatric Endocrinology and Diabetes published interim guidelines on the management of diabetic ketoacidosis (DKA) in our younger patients (under the age of 18). NICE are planning to fully review …
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 …