Does reaching hypothermia sooner after cardiac arrest improve outcomes? This 2012 journal club examines an observational study of cooling times, using its results to explain relative risk, absolute risk and number needed to treat while questioning whether confounding could explain the apparent benefit of later cooling.
Getting Chilly Quickly at St.Emlyn’s Read More
St Emlyn’s launched its Twitter journal club in 2012 to take critical appraisal beyond the department. This post explains how shared papers, live discussion and subsequent blog summaries were intended to help colleagues learn together despite different locations and shifts.
Twitter Journal Club @JC_StE at St.Emlyn’s Read More
Could changing D-dimer thresholds reduce unnecessary CT pulmonary angiography? This 2012 journal club examines a retrospective study, questioning how patients were selected, how risk was assessed and whether small subgroups can support changes to investigation pathways.
JC Are we doing too many CTPAs? St.Emlyn’s Read More
Can ultrasound improve assessment of suspected skin and soft tissue infection in children? This 2012 journal club introduction questions whether finding an abscess necessarily improves outcomes, and raises concern about unnecessary interventions before linking to further ultrasound learning resources.
JC: Diagnostic panacea? USS that paeds abscess? Read More
Procedural sedation involves more than choosing a favourite drug. Using contrasting ankle-injury scenarios, this 2012 discussion explores how analgesia, sedation, anxiety relief and amnesia contribute to a plan tailored to the patient’s needs and existing medical problems.
Balanced Sedation in the ED Read More
Can case conferences help teams learn without becoming an exercise in blame? Rick Body uses a hypothetical asthma emergency to explore constructive reflection, fair feedback and the importance of recognising good care alongside opportunities to improve.
Is this what we mean by critical care? Feedback at St.Emlyn’s Read More
How much diagnostic uncertainty can clinicians and patients accept? Part three of Risky Business explores how percentages and natural frequencies shape risk perception, and why missed disease must be weighed alongside the harms of further testing and the patient’s perspective.
Who needs thromboprophylaxis after lower-limb immobilisation? This 2012 discussion introduces College of Emergency Medicine guidance, considers the evidence for ambulatory trauma patients and argues for individual VTE risk assessment rather than treating every plaster cast in the same way.
The POP, the Chief, his risk assessment and her thromboprophylaxis Read More
