How should we assess children with one or two positive PECARN abdominal trauma criteria? This appraisal examines a secondary analysis of the prediction rule, the different risks associated with individual findings and the continuing role of clinical judgement and repeated assessment.
Iain and Simon review the April 2024 posts, covering bougies, cardiac arrest, trauma and sepsis. They also discuss race in medicine, global health and choosing commitments deliberately, with learning from the RCEM CPD conference and the emergency medicine conference in Graz.
Review of an RCT of serratus anterior plane blocks in the emergency department for chest/rib injury. Is this now a standard of care?
Journal ClubEvidence-Based Medicine
How do injury patterns in e-scooter riders compare with those in cyclists? This appraisal examines a retrospective trauma registry study, considering the injuries recorded, differences in the circumstances of incidents and the implications for prevention and assessment.
How do experienced prehospital clinicians decide when to give blood? This appraisal explores a qualitative study of physicians at two UK air ambulance services, examining the role of experience and uncertainty, and what these decisions can teach us about training and reflection.
Dan Horner examines CRYOSTAT-2, a randomised trial of early empirical high-dose cryoprecipitate in major trauma haemorrhage. The appraisal explores the mortality results, trial limitations and subgroup findings, and considers what the study means for major haemorrhage protocols.
Practical perspectives on trauma care and team leadership.
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