Could a shorter acetylcysteine infusion make treatment for paracetamol poisoning easier to tolerate? This 2014 journal club examines a randomised trial of an accelerated regimen, separating findings about nausea and infusion reactions from the larger question of effectiveness in preventing serious liver injury.
JC: Should we halve the time of acetylcysteine infusions for Paracetamol OD? St.Emlyn’s Read More
Pain relief alone may not address what brings distress to patients in the emergency department. This 2014 research discussion explores suffering beyond pain and introduces EPICC: attending to emotional distress, physical symptoms, information, basic care and closure, informed by patients’ accounts of what they needed.
When pain relief is not enough in the Emergency Department. St.Emlyn’s Read More
A look back at preparations for the St Emlyn’s team’s appearance in SimWars at SMACC Gold 2014. The post introduces the team’s trailer for the live resuscitation competition and links to other contributions, including a James Bond-themed version.
SimWars SMACCGold the trailer with St.Emlyn’s Read More
Does giving prasugrel before angiography help patients with non-ST-elevation acute coronary syndromes? This 2014 appraisal of ACCOAST examines the balance between ischaemic outcomes and major bleeding, alongside patient selection, the composite endpoint and the limits of applying the findings more widely.
JC. ACS: Antiplatelets ACCOAST-ed? Read More
An introduction to the evidence-based medicine workshop at SMACC Gold 2014, led by St Emlyn’s and Critical Care Reviews. It sets out an approach to asking useful questions, finding relevant research and translating evidence into care, with a self-assessment quiz on everyday EBM habits.
SMACCGold EBM workshop with St.Emlyns and Critical Care Reviews Read More
How do experienced trauma team leaders know whether they are performing well? This reflection makes the case for peer observation and feedback, describes a practical process using a TEAM assessment sheet, and explores how colleagues can help each other develop beyond formal training.
Are you a good Trauma Team Leader? St.Emlyn’s Read More
Should families be offered the chance to be present during brain-death evaluation? This 2013 journal club examines a small randomised study of understanding and psychological wellbeing, while considering participation, loss to follow-up and questions about families’ and clinicians’ experiences that the trial could not resolve.
JC: Family presence for Brain Death Evaluation. St.Emlyn’s Read More
Does the precordial thump deliver the dramatic benefit its image suggests? This 2013 journal club examines Australian cardiac-arrest registry data, considering rhythm deterioration, the small number of treated patients and the limitations of using observational records to judge an intervention.
JC: There’s no jump with a precordial thump. St.Emlyn’s Read More
