Do intravenous fluids shorten an emergency department stay for uncomplicated alcohol intoxication? This 2013 journal club reviews a randomised trial, examining its selected patient population, length-of-stay findings and uncertainty, and asks whether an impulse to intervene is supported by evidence.
JC: IV Fluids for alcohol intoxication. St.Emlyn’s Read More
Can symptoms or clinical scores predict which adults with sore throat will develop complications? This 2013 journal club examines a large primary-care cohort, using rare outcomes to explain positive predictive value and to question assumptions behind antibiotic prescribing.
JC: The Trouble With Tonsils. St.Emlyn’s Read More
Could online estimates of pre-test probability help clinicians choose investigations for pulmonary embolism and acute coronary syndromes? This initial 2013 discussion examines a trial of web-based decision support, exploring radiation exposure, gaps in the calculator’s data and unanswered questions about diagnostic safety.
JC: I’ll just ask Dr Google..for some PE/ACS investigation advice @ St.Emlyn’s Read More
What happens when colleagues, relatives or public figures arrive expecting different treatment in the emergency department? This reflection examines fairness, pressure to prioritise, over-investigation and incomplete assessment, and considers how teams can handle personal connections while keeping care consistent with clinical need.
There’s a vIP in the ED at St.Emlyn’s Read More
The second instalment of this ethics series revisits a fictional rescue dilemma through the trolley problem and the four pillars of medical ethics. It explores intentions, consequences, action and omission, and asks why apparently similar choices can provoke very different moral judgements.
Ethical dilemmas in Emergency Medicine Part 2 Read More
How often do we tell our emergency department colleagues that their work matters? This reflection explores the value of gratitude during demanding shifts and offers simple ways to make thanks sincere, specific and part of everyday team culture.
Attitude of Gratitude – Showing Some Love in the ED Read More
Could viscous lidocaine help children with painful mouth ulcers drink more? This 2013 journal club examines a placebo-controlled trial, discussing oral intake, the small sample and safety concerns, and separating a plausible treatment idea from evidence of meaningful benefit.
JC: Lidocaine for paediatric mouth ulcers at St.Emlyn’s Read More
An archived call for research abstracts for SMACC Gold 2014, published in November 2013. The St Emlyn’s team encouraged colleagues to share their work with an international emergency medicine and critical care audience, with submissions due on 22 November 2013.
SMACC Abstracts – Just 2 weeks to go…. St.Emlyn’s Read More
