Could ROTEM help identify coagulation problems beyond trauma patients in the resuscitation room? This 2014 journal club reviews a small study in hypovolaemic shock, examining recruitment difficulties, the distinction between correlation and agreement, and the limits of an early proof-of-concept study.
JC. ROTEM for ED coagulopathy detection. St.Emlyn’s Read More
How strong was the evidence behind major transfusion protocols in trauma? This 2013 journal club examines a systematic review and meta-analysis, exploring before-and-after study bias, variation between protocols and why a statistically inconclusive pooled result may leave an important clinical question unresolved.
JC: Major Transfusion Protocols – evidence or lack of? St.Emlyn’s Read More
Could cryoprecipitate and tranexamic acid work together to improve trauma outcomes? This 2013 journal club examines observational data from Camp Bastion, highlighting baseline differences, statistical adjustment and the difficulty of transferring findings from a military setting to civilian practice.
JC Cryo + TXA for trauma apparently it also MATTERS. St.Emlyn’s Read More
Could the Glasgow-Blatchford score help identify patients with upper gastrointestinal bleeding who can avoid admission? This 2012 introduction explains the score’s purpose and reviews a study that moved from validation to implementation, examining what happened when selected low-risk patients were managed as outpatients.
Glasgow Scores… Not just for coma any more! Read More
