Could intranasal ketorolac offer an alternative to intravenous analgesia for renal colic? This appraisal examines a randomised trial comparing the two routes, its pain outcomes and methodological limitations, including how the choice of comparator affects its relevance to UK practice.
Intranasal ketorolac in renal colic Read More
Is paracetamol alone enough for pain after minor musculoskeletal injury? This 2017 review examines a randomised non-inferiority trial comparing paracetamol, diclofenac and their combination. It explores pain outcomes, trial design and exclusions, including why the findings cannot simply be extended to fractures or all painful injuries.
JC : Paracetamol, NSAID’s or both in MSK trauma. St.Emlyn’s Read More
Starting work in an emergency department can be daunting. This collection brings together St Emlyn’s introductory blogs and podcasts on core emergency medicine, designed to support new starters alongside local induction, workplace teaching and the learning that comes with those first shifts.
Induction to Emergency Medicine – St Emlyn’s Resources Read More
Can a subdissociative dose of ketamine provide comparable pain relief to intravenous morphine? This 2015 journal club examines a small emergency department trial, considering pain scores, rescue analgesia, adverse effects and blinding, while explaining why failure to find a difference does not establish equivalence.
JC: K is Good For You – Subdissociative Ketamine vs Morphine in the ED Read More
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.
Chirocaine vs Bupivicaine – Through the Looking Glass Read More
Prompted by NICE guidance published in 2012, this discussion asks how emergency departments can improve care for people with painful sickle cell crises. It explores stigma, trust in patients’ accounts of pain, individual care plans and collaboration across the emergency and haematology teams.
Sickle Cell Disease – New Guidance Read More
