Category: Journal Club

Musings form the evidence based journal club at St Emlyns

JC: The Trouble With Tonsils. St.Emlyn’s

Or…. If we’re preaching to the choir, why are they still singing the wrong tune? If you are a up to date, #FOAMed positive practioner, I suspect you already have strong opinions on the matter

JC: I’ll just ask Dr Google..for some PE/ACS investigation advice @ St.Emlyn’s

OK folks, the debates around PE & ACS investigation over the last few years have been fantastic. Not only have they challenged our reliance on protocols, the debates have also asked us to question what

JC. Should we X-ray before manipulating a displaced ankle fracture? St.Emlyn’s

At St.Emlyn’s we recognise that there are a lot of journals out there. Far too many to keep a track of and far too many for one human to read and collate (thereby providing evidence

JC: Is surgical fixation of rib fractures ready for a comeback? St.Emlyn’s

If you’re an emergency physician practicing in the UK you may  be a bit surprised to hear about a trial published this week looking at the use of open reduction and internal fixation of rib

JC: Triple Rule Out CT – are the rays worth it? St.Emlyn’s

I was glad to see this article published as triple rule out CT for chest pain has been a topic that I’ve heard a little about, but personally it’s not something I use. This troubles

JC: ED physicians are not Propofol Assassins – St.Emlyn’s

If you’ve never listened to the rant by Cliff Reid on Propofol then you should do so now. It’s a great description of why propofol is a rather ‘courageous’ agent for RSI in the ED

http://www.flickr.com/photos/whatmeworry/

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

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