What information gets lost when a clinical consultation needs an interpreter? This reflection discusses qualitative research on untranslated asides, exploring how concerns, beliefs and social context can remain hidden even when the clinician receives answers to the questions they asked.
Journal ClubEvidence-Based Medicine
How quickly does oral dexamethasone improve mild to moderate croup? This 2012 journal club examines a small randomised trial, questioning the clinical importance of early score changes, patient selection and statistical methods, with further teaching on blinding and intention-to-treat analysis.
Journal ClubEvidence-Based Medicine
If medical publishing changes, do we still need journal clubs? This short introduction argues that critical appraisal matters just as much for blogs and other online evidence, and points readers towards practical advice for making an emergency medicine journal club useful.
A prescription only helps if the child can take the medicine. This 2012 discussion considers antibiotic taste, trying a first dose before discharge and a pilot study of mini-tablets, asking how formulation and acceptability influence adherence in paediatric practice.
What is the difference between levobupivacaine and bupivacaine, and does it matter for a child's nerve block? This 2012 discussion explains stereoisomers, examines the evidence behind claims of reduced cardiac toxicity and questions how well adult and animal findings apply to small paediatric doses.
Does introducing a risk score genuinely reduce admissions and resource use? This 2012 follow-up appraisal of the Glasgow Blatchford Score examines selection bias, missing follow-up and the lack of a control group, explaining why a promising service evaluation can still leave important questions unanswered.
Practical perspectives on trauma care and team leadership.
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