Does tamsulosin help patients with renal colic pass their stone? Simon Carley reviews a 2018 randomised trial in adults with CT-confirmed stones under 9 mm, examining patient-reported passage, follow-up imaging and subgroup uncertainty. He considers why the findings challenged routine medical expulsive therapy in this ED population.
JC: Tamsulosin and Renal Colic. St Emlyn’s Read More
This introduction to St Emlyn’s 2018 wellbeing e-book brings together reflections on working in emergency and acute care. Edited by Simon Carley and Laura Howard, the collection draws on the team’s experiences of pressure, fatigue and balancing professional and personal lives, with self-care at its centre.
The Resuscitationist’s Guide to Health and Wellbeing. A St Emlyn’s e-book. Read More
Could selected patients with uncomplicated appendicitis receive antibiotics without a hospital admission? This 2016 appraisal examines a small pilot trial, questioning its mixed treatment comparison, restrictive eligibility and what feasibility findings can establish before a larger, more definitive study.
JC: Does every appendicitis need admission? St.Emlyn’s Read More
Should ultrasound or CT be the first investigation for suspected renal colic? This 2014 appraisal examines a trial comparing emergency physician ultrasound, radiologist ultrasound and CT, focusing on patient outcomes, missed diagnoses, cumulative radiation and the need for additional imaging after the initial test.
JC: Should USS be first investigation for renal colic? St.Emlyn’s Read More
