Category: Journal Club

Musings form the evidence based journal club at St Emlyns

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JC: PROMMT Pre-hospital fluids for trauma – do they improve survival?

If you’ve read St.Emlyn’s before you will know that we adore any papers that challenge dogma and so it is that this week I came across this paper in the Journal of Trauma and Acute

JC: Hypertonic Saline for Bronchiolitis. St.Emlyn’s

My initial impression when this article popped up on email was that this is old news. We’ve been using 3% nebulised saline for Bronchiolitis in infants for many years (despite major concerns from paediatricians when

JC: If the Video Laryngoscope was stroke thrombolysis……. St.Emlyn’s

It has been truly fascinating to look at the responses to the paper on use of the glidescope for trauma patients. The post looks at the paper from R Adams Cowley shock trauma centre that

JC: Did Video kill the Laryngoscope star? Here comes the evidence. St.Emlyn’s

Although Britain and Ireland appear to be really rather fabulous at Rugby….thought I’d get that in there….., I do worry that we are falling behind the curve in terms of laryngoscopy in the ED. If

JC: Should we use Heimlich Valves for ambulatory pneumothorax management? St. Emlyn’s

Here at St. Emlyn’s we have been managing patients with pneumothoraces as out patients for many years. The approach in the UK has been ‘guided’ by the BritishThoracic Society guidelines. For many PNXs we simply

JC: Time is brain…., calling #FOAMagitators. St.Emlyn’s

Streamlining of prehospital stroke management: the golden hour. If you have been happily playing with #FOAM for the last year or two then you must have come across the many excellent articles on the use

JC: Does Magnesium work in asthma? St.Emlyn’s

This is a roller coaster journey  for me. Many years ago Virchester ED was one of the first hospitals to start using Magnesium for the treatment of acute severe asthma. This prompted great concern amongst

JC: Cullen on high sensitivity Troponin. St.Emlyn’s

There has been much debate about the use of high sensitivity troponins in the ED over the last year, but the picture is getting clearer as we see more trials looking at the utility of

JC: Is that IV really needed?

Just a quick review of a thought provoking paper in the Annals of Emergency Medicine from a group of docs in Melbourne Australia. It’s thought provoking as I suspect that this reflects practice in many

JC: Delta signs for shock trauma. St.Emlyn’s

I recently had a bit of fun at the Telford trauma conference talking about the top 10 papers of 2012 and in passing mentioned the #dogmalysis of ATLS shock categories published in Resuscitation last year

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