A 2013 journal club examines a randomised trial comparing GlideScope video laryngoscopy with direct laryngoscopy in trauma patients. It considers survival, uncertainty around a small head-injury subgroup and whether results from a specialist trauma centre apply across emergency medicine.
JC: Video Layngoscopy – Did Video kill the Laryngoscope star? Read More
A 2013 journal club explores an Australian observational study of childhood CT exposure and subsequent cancer diagnoses. It puts relative risk headlines into perspective and considers how clinicians balance the immediate benefits of diagnosis against possible harms that may emerge much later.
JC: Do paediatric CT scans cause cancer? St.Emlyn’s Read More
What did the 3MG trial add to the evidence for magnesium in acute severe asthma? This 2013 appraisal compares intravenous and nebulised treatment with placebo, focusing on admission and breathlessness while stressing that patients with life-threatening features were excluded.
Does Magnesium work in asthma? St.Emlyn’s Read More
A 2013 journal club reviews Louise Cullen and colleagues’ validation of a two-hour strategy using high-sensitivity troponin to assess chest pain. It explores diagnostic performance, the proportion potentially suitable for early discharge and how patient selection and subsequent interventions complicate interpretation.
JC: Cullen on high sensitivity Troponin. St.Emlyn’s Read More
Do changes in vital signs predict trauma outcomes better than a single set of observations? This 2013 journal club examines retrospective TARN data, considering shock index and changes in blood pressure, respiratory rate and heart rate, alongside study exclusions and the small number of deaths.
JC: Delta signs for shock trauma Read More
Which trauma papers deserved attention at the 2013 Trauma Care conference? Simon Carley shares his shortlist, from tranexamic acid and analgesia to imaging and airway management, and reflects on the limits of presenting ten studies in half an hour.
Trauma Care Conference Telford 2013. St.Emlyn’s on tour. 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
