Journal Club

A Critical Appraisal Nugget about Positive and Negative Predictive Value and their use when interpreting diagnostic tests.

A London Air Ambulance cohort study explores partial REBOA for trauma patients with life-threatening bleeding and recent or imminent cardiac arrest. This appraisal considers feasibility, survival and patient selection, alongside the limits of a small observational study and the training and systems needed to deliver the technique.

Should bleeding trauma patients be intubated in the emergency department or the operating room? This appraisal examines an observational comparison in patients needing urgent haemorrhage control, including the association with mortality and why confounding limits conclusions about changing practice.

Review of an RCT of serratus anterior plane blocks in the emergency department for chest/rib injury. Is this now a standard of care?

Does using a bougie improve first-pass success during tracheal intubation? This appraisal examines a systematic review and meta-analysis, considering the quality and variety of the included studies and how equipment, technique and clinical setting affect the interpretation.