JC: Pulmonary Embolism – The PEGeD study
The use of clinical probability adjusted d-dimer thresholds for exclusion of pulmonary embolism
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Journal Club
Stay up to date with the latest research in emergency and acute care. Our journal club posts critically appraise new studies, discuss their clinical relevance, and explore how evidence can inform practice.
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
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Hindsight bias in Emergency Medicine
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
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Tranexamic Acid (TXA) in Head Injury: CRASH-3 results
A review of the CRASH-3 trial and whether tranexamic acid (TXA) is of benefit in traumatic brain injury patients.
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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
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JC: Lower GI bleeding guidance
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
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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
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Clot’s the Problem? Vena Cava filters in trauma patients. St Emlyn’s
No one likes getting a pulmonary embolism. Or a deep vein thrombosis. And because about 60% of all blood clots are associated with hospitalisation for acute illness1, we take the
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