An April 2020 podcast and accompanying notes following patients with COVID-19 from the emergency department into critical care. Dan Horner discusses respiratory support, proning, ventilation physiology and equipment problems, alongside the practical and emotional pressures of working in intensive care during the first wave.
Journal ClubEvidence-Based Medicine
Casey Parker joins the 21 April 2020 COVID-19 journal club, with a recording, podcast and reading list. The papers cover hydroxychloroquine, antibody prevalence, virology, protection in camp settings, myocarditis and chest CT, capturing questions being debated during the pandemic's first months.
An April 2020 critical appraisal of early reports linking COVID-19 with thrombosis and raised D-dimer. Dan Horner questions incidence estimates, composite outcomes and claims about heparin, explaining why observational associations alone could not settle the benefits and harms of intensified anticoagulation.
PodcastEvidence-Based Medicine
An extended April 2020 COVID-19 journal club collection, combining the first webinar with ten additional paper reviews. Topics include children, antibody testing, intensive care outcomes, prediction models and thrombosis, with attention to bias, small samples and the limits of early observations.
How should clinicians interpret a raised troponin when COVID-19 is also possible? This April 2020 review explores myocardial injury, myocarditis and acute coronary syndromes, emphasising the clinical history, ECG and alternative diagnoses rather than assuming every cardiac presentation is caused by the virus.
Writing in April 2020, Simon Carley argues for evidence-based medicine despite the pressure to try unproven COVID-19 treatments. He examines the weaknesses of uncontrolled reports and explains how coordinated UK research, including RECOVERY, offered a route to more reliable answers.
Practical perspectives on trauma care and team leadership.
Explore the series →