What if the Nativity had unfolded in a modern emergency department? This Christmas 2012 satire reimagines Mary and Joseph's journey through hospital transfers, crowded services and social media, with a resuscitation trolley standing in for the manger.
Journal ClubEvidence-Based Medicine
How should clopidogrel use influence assessment after a head injury? This 2012 journal club examines a prospective cohort study of intracranial bleeding, questioning comparisons with warfarin, patient selection and whether CT findings adequately capture the outcomes that matter to patients.
Simon Carley looks back at the ideas that changed St Emlyn's practice through FOAM in 2012. His personal top ten spans airway management, ultrasound, analgesia and children's medicines, reflecting on how online discussion can challenge established habits and turn learning into action.
Does combining antibiotics improve survival in severe sepsis? This 2012 journal club scrutinises an observational analysis from EduSepsis, exploring differences between treatment groups, confounding and why a reported mortality association does not establish that combination therapy caused the benefit.
How impressive are relative reductions in bleeding when the absolute event rates are small? This 2012 appraisal of newer oral anticoagulants for venous thromboembolism examines a systematic review, the comparison with warfarin and concerns at the time about managing major bleeding.
Emergency Department Management
How can emergency medicine recruit and retain doctors without minimising the pressures of the job? In this 2012 reflection, Simon Carley argues for valuing trainees, investing in teaching and reconsidering rewards, working patterns and longer-term career options.
Practical perspectives on trauma care and team leadership.
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