CC20

JC: High sensitivity Troponin I on presentation. Is it enough to rule out ACS? St.Emlyn’s

Could a single high-sensitivity troponin I result help rule out acute coronary syndrome at presentation? This 2015 appraisal examines a diagnostic cohort study, distinguishing negative predictive value from sensitivity and asking how the findings fit with ECG interpretation, clinical risk and different patient populations.

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James Lind and the RCEM needs you (and you, and you). St.Emlyn’s

This October 2015 announcement introduces the James Lind Alliance and RCEM emergency medicine research priority-setting partnership. It explains why patients, carers and clinicians were invited to identify unanswered questions together, and how that process aimed to shape research priorities beyond individual researchers’ interests.

James Lind and the RCEM needs you (and you, and you). St.Emlyn’s Read More

JC: Gadgets and Gizmos for gaining IV access in kids. St.Emlyn’s

Do vein-finding devices improve first-attempt cannulation in children? This 2015 appraisal compares ultrasound, near-infrared imaging and standard practice in a Canadian emergency department trial. It examines staff training, sample size and generalisability, asking whether better vein visualisation translates into better outcomes.

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JC: Getting Chilly Quickly 4. Doing It For The Kids

Does therapeutic hypothermia improve outcomes after cardiac arrest in children? This 2015 journal club examines a trial comparing cooling with active temperature control after out-of-hospital arrest, exploring neurological outcomes, confidence intervals, study limitations and why a non-significant result does not establish that two treatments are equivalent.

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JC: One Benzo Fits All? Lorazepam vs Diazepam for Paediatric Status Epilepticus

This 2015 journal club examines a trial comparing intravenous lorazepam and diazepam for children with convulsive status epilepticus. Alongside seizure control and adverse effects, the appraisal explores blinding, per-protocol analysis and why failing to demonstrate superiority does not prove that the treatments are equivalent.

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JC: K is Good For You – Subdissociative Ketamine vs Morphine in the ED

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.

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