Category: Journal Club

Musings form the evidence based journal club at St Emlyns

Covid-19 Journal Club: The Director’s Cut #1. St Emlyn’s

Simon recently published on the challenges of practicing evidence based medicine during a pandemic. We are trying to work out what to do for our patients at the same time that research is emerging at

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

USS guided IVs

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

#CCR20

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


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