Why do trainees enjoy emergency medicine placements yet hesitate to choose the specialty? In this 2012 reflection, Simon Carley explores working conditions, disruptive rotas, career prospects and recognition of extra effort, asking what might persuade enthusiastic junior doctors to stay.
Why can a cheap, straightforward treatment struggle for attention alongside more dramatic interventions? Reflecting on tranexamic acid after CRASH-2 in 2012, Simon Carley questions the appeal of expensive or technically demanding therapies and asks how clinicians can close the gap between evidence and routine practice.
Journal ClubEvidence-Based Medicine
How should the early risks of stroke thrombolysis be weighed against later functional outcomes? This 2012 journal club debates IST-3, contrasting early mortality and bleeding with six-month survival and independence, and examining how the trial's results are presented and interpreted.
Journal ClubEvidence-Based Medicine
Why can a correct answer still lose marks in a critical-appraisal exam? In this 2012 guide to the former FCEM format, Simon Carley discusses reading the question, practising with papers, explaining statistics clearly and constructing an abstract whose objectives, results and conclusions fit together.
Does ondansetron help children with gastroenteritis tolerate oral rehydration, and how should concerns about cardiac rhythm be interpreted? This 2012 appraisal examines the evidence behind an FDA warning, questioning how studies in anaesthetic settings apply to emergency care and weighing potential benefit against uncertainty about harm.
A bite sustained abroad can raise questions that extend beyond wound care. This short 2012 introduction to a rabies review discusses specialist advice, access to vaccination and immunoglobulin, and why relevant exposure is not limited to overseas dog bites.
Practical perspectives on trauma care and team leadership.
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