Should patients without ST elevation undergo early coronary angiography after cardiac arrest? This 2017 review examines mortality and neurological outcomes, then challenges the impressive apparent benefit by considering selection bias, retrospective studies and the limited randomised evidence available at the time.
JC: Should non ST elevation ROSC patients go to cath lab? St.Emlyn’s Read More
Could oral rivaroxaban replace fondaparinux injections for superficial vein thrombosis? This 2017 appraisal of SURPRISE examines its non-inferiority design, composite outcomes, bleeding and generalisability, asking how convenience should be weighed against uncertainty about benefits and harms.
The rise and SURPRISE of the DOACs. St.Emlyn’s Read More
Does routine oxygen improve outcomes in suspected acute coronary syndromes? This 2017 appraisal of DETO2X-SWEDEHEART examines its patient selection, unexpectedly low event rate and mortality findings, explaining why a non-significant result does not establish that two treatments are equivalent.
JC: Oxygen in ACS. A fuss about nothing? The DETO2X Trial at St.Emlyn’s Read More
How can emergency care reflect what matters to a patient before a crisis occurs? This 2017 introduction to ReSPECT explores personalised treatment planning, early conversations with patients and families, and why the discussion matters more than the form alone.
Have a bit of ReSPECT for end of life care. St.Emlyn’s Read More
Could a simple cold-water stimulation technique shorten the wait for an infant’s urine sample? This 2017 appraisal of Quick-Wee examines the randomised trial, collection success, uncertain contamination findings and the practical challenge of providing uninterrupted attention in a busy ED.
JC: The Quick-Wee Method for Faster Clean Catch Urine Collection Read More
How were emergency medicine’s research priorities chosen in 2017? This report and podcast introduction describe the James Lind Alliance and RCEM process, bringing patients, clinicians and researchers together to rank unanswered questions and guide future research beyond individual interests.
Here’s the top 10 (and more) research priorities in EM. James Lind & St.Emlyn’s Read More
What can UK registry data tell us about traumatic cardiac arrest? This 2016 appraisal examines survival and injury patterns in TARN, while explaining why observational associations cannot establish which interventions work and why different causes may require different approaches.
JC: UK traumatic cardiac arrest stats. St.Emlyn’s Read More
An introduction to the St Emlyn’s Critical Appraisal Nuggets podcast series, launched in 2016 to help clinicians interpret research and prepare for exams. The first episode brings Simon Carley and Rick Body together to discuss randomisation, with links to further learning resources.
Critical Appraisal Nuggets – The St.Emlyn’s CAN Podcast Read More
