The October 2019 podcast roundup, accompanied by links to that month’s reading. The notes point to CRASH-3 and tranexamic acid in head injury, lower-limb thromboprophylaxis, and reports from the RCEM, European Resuscitation Council and Tactical Trauma conferences.
Podcast – October 2019 Monthly Round Up Read More
Can clinical probability guide D-dimer thresholds and reduce imaging for suspected pulmonary embolism? Dan Horner appraises the PEGeD management study, examining follow-up outcomes, assay units, possible selection bias and the limited evidence for moderate-risk patients, with a perspective on applying the findings in different settings.
JC: Pulmonary Embolism – The PEGeD study Read More
A November 2019 explanation of CODA’s origins and planned direction after SMACC. Simon Carley and the organisers describe a wider healthcare community, a programme spanning medicine, ethics, education and planetary health, and an ambition to turn conference conversations into collective action.
CODA. The FAQs. St Emlyn’s Read More
How do intranasal ketamine and fentanyl compare for children with painful limb injuries? This appraisal examines a small randomised trial reporting similar pain relief but more minor adverse events with ketamine, alongside concerns about sample size, trial design and applicability across different clinical settings.
JC: IN Fentanyl vs Ketamine for analgesia in PED. St Emlyn’s Read More
Does knowing that a patient died change how we judge their earlier care? This appraisal examines a study in which clinicians rated the same cases with different outcomes, then considers what hindsight bias means for reflection, feedback and fair discussion of difficult emergency medicine cases.
Hindsight bias in Emergency Medicine Read More
An introduction to RCEM’s 2019 Wellness Compendium and related resources for supporting emergency medicine staff. The article explains how its brief topic guides complement St Emlyn’s wellbeing book, with links to both publications and the EM-POWER material on sustaining an experienced workforce.
RCEM launches wellness compendium for Emergency Medicine. St Emlyn’s Read More
Pete Hulme reports from Tactical Trauma 2019 in Sweden, bringing together lessons from prehospital teams, police and emergency services. The review explores bystander response, haemorrhage control, triage and team leadership when trauma care takes place in difficult environments.
#TacT19: St Emlyn’s on tour with Pete Hulme Read More
A review of the CRASH-3 trial and whether tranexamic acid (TXA) is of benefit in traumatic brain injury patients.
Tranexamic Acid (TXA) in Head Injury: CRASH-3 results Read More
