Can bedside ultrasound identify the cause of undifferentiated hypotension? This 2013 journal club examines a 108-patient diagnostic study, questioning how agreement with a final diagnosis relates to clinical judgement, potential bias and better patient outcomes.
JC: Point of care USS for Hypotension in the ED. St.Emlyn’s Read More
This 2013 journal club examines the Cochrane review of colloids versus crystalloids, with a particular interest in sepsis. Simon Carley explores mortality findings, numbers needed to harm and why differences between trial populations matter when interpreting a meta-analysis.
JC The end of the road for colloids in sepsis??? St.Emlyn’s Read More
Could propofol have a role in refractory migraine? This 2013 journal club critiques an eight-patient case series, examining unclear recruitment, pain measurement during sedation and why larger, better-designed studies would be needed before drawing conclusions for practice.
JC: Milk for refractory migraines? Read More
Does this Dutch study show that helicopter emergency medical services fail to improve trauma outcomes? The 2013 journal club challenges that interpretation, examining patient matching, baseline physiological differences and the importance of understanding the trauma system behind the aircraft.
JC: HEMS doesn’t work – at least not for the Dutch Read More
How should clopidogrel use influence assessment after a head injury? This 2012 journal club examines a prospective cohort study of intracranial bleeding, questioning comparisons with warfarin, patient selection and whether CT findings adequately capture the outcomes that matter to patients.
JC: Clopidogrel + head injury = CT? Read More
Does combining antibiotics improve survival in severe sepsis? This 2012 journal club scrutinises an observational analysis from EduSepsis, exploring differences between treatment groups, confounding and why a reported mortality association does not establish that combination therapy caused the benefit.
JC: Blunderbuss antibiotics in sepsis?? Read More
More scans do not necessarily mean more useful diagnoses. This 2012 journal club examines US trends in CT and MRI for atraumatic headache, questioning coding accuracy, survey extrapolation and what the findings can tell clinicians about assessing an individual patient.
JC: Trends in CT/MRI for Atraumatic Headache in the US Read More
Can ultrasound improve assessment of suspected skin and soft tissue infection in children? This 2012 journal club introduction questions whether finding an abscess necessarily improves outcomes, and raises concern about unnecessary interventions before linking to further ultrasound learning resources.
JC: Diagnostic panacea? USS that paeds abscess? Read More
