Category: Journal Club

Musings form the evidence based journal club at St Emlyns

JC: Intra-arterial treatment for Stroke

Here at St.Emlyn’s the whole team loves a good stroke trial as they always throw up controversies and concerns about methods, outcomes and our absolute favourite ‘statistics’. That said, although we love discussing the trials

JC: PARAMEDIC trial m-CPR at St.Emlyn’s

  In some ways you might be forgiven for thinking that 2014 was a bit disappointing in terms of EBM. A number of clinical trials that I’ve been looking forward to for some time have

JC: Getting Chilly Quickly 3. Hypothermia at St.Emlyn’s

In a rather strange co-incidence two articles landed on my desk this soggy Sunday morning. Firstly we have an RCT of intra-arrest therapeutic hypothermia published in Intensive Care Medicine. Secondly we have the ‘cool car‘.

JC: Should USS be first investigation for renal colic? St.Emlyn’s

A few years ago I was asked to see a patient in the rapid assessment unit with severe pain in the flank. She looked as though she had renal colic and we instituted the usual

JC – Just Checking: Do Follow-Up Phone Calls Reduce Reattendance to PED?

Lots of patients we see in the ED do not require hospital admission and this is especially true of the paediatric ED where children often attend with parents seeking advice for management of viral illnesses or treatment

An introduction to sample size calculations. St.Emlyn’s

This blog post is based on a paper I put together with Steve Jones and Magnus Harrison way back in 2003. In that paper we covered an area of critical appraisal that strikes fear into

JC: POCUS for the breathless patient. St.Emlyn’s

This might be the paper (or perhaps the first of many papers) that I’ve been waiting for. Like many colleagues in the #FOAMed world I’m a big fan of point of care ultrasound (POCUS) in

JC: Paediatric massive transfusion. St.Emlyn’s

I am lucky enough to work in both paediatric and adult trauma centres in Virchester. I think this is a good mix as really nasty paediatric trauma is rare but adult trauma is not. This

JC: A decade of reversal: an analysis of 146 contradicted medical practices.

This week the blog, the podcast, SMACC and twitter have been ‘off on one‘ about belief, evidence, adoption, change and practice. It has been great to tackle one of the trickiest decisions we have to

JC: Tranexamic acid – does the evidence stack up?

Here at St.Emlyn’s we are big fans of Tranexamic Acid in trauma. We believe that it makes a difference to overall mortality in patients likely to be bleeding and also that there is some evidence


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