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
Simon Carley looks back at the ideas that changed St Emlyn’s practice through FOAM in 2012. His personal top ten spans airway management, ultrasound, analgesia and children’s medicines, reflecting on how online discussion can challenge established habits and turn learning into action.
The #FOAMtastic 2012 top ten from St.Emlyn’s 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
How impressive are relative reductions in bleeding when the absolute event rates are small? This 2012 appraisal of newer oral anticoagulants for venous thromboembolism examines a systematic review, the comparison with warfarin and concerns at the time about managing major bleeding.
The new oral anticoagulants – the good news – or is it? Read More
How can emergency medicine recruit and retain doctors without minimising the pressures of the job? In this 2012 reflection, Simon Carley argues for valuing trainees, investing in teaching and reconsidering rewards, working patterns and longer-term career options.
A career in Emergency Medicine part 2 (b) Read More
This December 2012 preview introduces SMACC 2013, a Sydney conference bringing together emergency medicine, critical care and social media. It outlines St Emlyn’s plans for SimWars and opportunities to participate online as well as in person.
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
Should cooling begin during cardiac arrest rather than after circulation returns? This 2012 discussion explores the rationale for intra-arrest hypothermia, the limited human and animal evidence then available, and the author’s argument for trying an earlier approach despite that uncertainty.
Getting Chilly Quickly 2…. Early hypothermia for ROSC? Read More
