Podcast – December 2021 Monthly Round Up
Iain and Simon recap the highlights on the blog from December 2021. The best of the month plus a few reflections on the year and a look forward to 2022. […]
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Journal Club
Stay up to date with the latest research in emergency and acute care. Our journal club posts critically appraise new studies, discuss their clinical relevance, and explore how evidence can inform practice.
JC: Should we use calcium in out of hospital cardiac arrest? St Emlyn’s
A trial published in JAMA asks exactly this question, the full text can be found here. The abstract is below, but as we always say, please read the full paper
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Are CT scanners getting more sensitive at detecting Subarachnoid haemorrhage?
There is no doubt that sub-arachnoid haemorrhage is an important diagnosis in the emergency department. It is arguably especially important in the cohort of patients who present with lesser signs/symptoms
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JC: More on pulse oximetry and racial bias. St Emlyn’s
This week we are reviewing a paper on the accuracy of pulse oximetry in patients being assessed for ECMO. This is an interesting group as they represent and extremely unwell
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JC: Can we use smaller pigtail drains in traumatic haemothorax?
Back in 2016 we published a blog on chest drains and chest aspiration, in which we argued that the dogma of putting in huge drains for traumatic haemothoraces should be
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Re-evaluating risk factors for Cauda Equina
The diagnosis of cauda equina syndrome in the emergency department is complex and has the potential for significant patient harm if we get it wrong. Linda Dykes put together an
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JC: The REST trial. St Emlyn’s
Some years ago I remember speaking to a rather well known intensivist who was advocating for the extracorporeal removal of CO2 in ICU patients. His logic was that in patients
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JC: CTCA for cardiac chest pain in the ED. St Emlyn’s
Computed Coronary Angiography (CTCA) has been advocated as a useful adjunct in the investigation of acute coronary syndromes (ACS) in the ED. Although we’ve made huge progress in the diagnosis
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