Simon and Iain revisit the St Emlyn’s blog from April 2018. The episode’s written guide links trauma research, paediatric CT, anticoagulation complications and diagnostic uncertainty, alongside clinician wellbeing, team coaching and reflections from badEMfest in South Africa.
Podcast – April 2018 Monthly Round Up Read More
Does a bougie improve first-pass success during emergency intubation? Simon Carley reviews a 2018 randomised comparison with a tube and stylet, examining the results alongside operator experience, laryngoscope choice and local practice. He asks how confidently a single US centre’s findings can be applied elsewhere.
JC: Don’t blame it on the Bougie. St Emlyn’s Read More
More oxygen is not necessarily better. This 2018 journal club examines a systematic review comparing liberal and conservative oxygen strategies in acutely ill adults. Simon Carley considers mortality findings, the size of the absolute effect and why even a meta-analysis needs careful critical appraisal.
JC: Oxygen in the Acutely Unwell Patient. St Emlyn’s Read More
Should injured children receive whole-body or selective CT? Natalie May examines a 2018 observational study of paediatric trauma, explaining propensity-score adjustment and what its mortality findings can—and cannot—tell us. The discussion challenges the assumption that adult imaging practice should automatically transfer to children.
Journal Club – Trauma CT in Paediatric Patients Read More
What can early pupil responses tell us after cardiac arrest? This 2018 review examines a large French observational study, separating association with outcome from the ability to predict an individual patient’s recovery. It challenges decisions based on a single early finding and considers how prognosis is discussed.
JC: Do early pupil responses predict outcome in cardiac arrest? St Emlyn’s Read More
SALT-ED compared balanced crystalloids with saline in adults admitted from the emergency department to non-critical-care beds. This 2018 appraisal distinguishes the neutral primary outcome from the signal in kidney outcomes, examining pragmatic trial design, follow-up and the limits of applying one centre’s findings more widely.
JC: So long Salt and Saline? St Emlyn’s Read More
Can inhaling an alcohol swab ease nausea in the emergency department? This 2018 appraisal examines a small trial comparing isopropyl alcohol and oral ondansetron combinations. It considers symptom relief, difficulties with blinding and sampling limitations, explaining why the findings do not establish a replacement for established antiemetic treatment.
JC: More on alcohol sniffing and nausea. St.Emlyn’s Read More
Iain and Simon revisit January 2018 on the St Emlyn’s podcast. The linked discussions include devastating brain injury, dizziness, clinical reflection, CRYOSTAT-2 and the ADRENAL trial, alongside conference reports and working in Africa. The episode brings together that month’s clinical evidence, education and professional perspectives.
St Emlyn’s January 2018 in review Read More
