A rapid review of selected paediatric emergency medicine papers from 2015, presented at the Irish Association of Emergency Medicine conference. Natalie May examines research on trauma assessment, serious infection, cardiac arrest, bronchiolitis and procedural anxiety, highlighting limitations as well as possible implications for practice.
PEM Review – PEMLit at #IAEM15 Read More
How do emergency clinicians know whether they make good decisions? Simon Carley separates sound reasoning from lucky outcomes and argues for feedback on everyday practice, exploring patient follow-up, peer review and conversations that reveal how colleagues reached a clinical judgement.
Making good decisions in the ED. #RCEM15 #EuSEM15 Read More
Does apnoeic oxygenation reduce desaturation during intubation of critically ill adults? This 2015 appraisal of the FELLOW trial examines its ICU population, oxygen-saturation outcomes and methodological limitations, asking how far the findings can be applied to emergency department airway practice.
JC: The last breath for apnoeic oxygenation? Read More
The 2015 SPLIT trial compared saline with Plasma-Lyte in intensive care patients. This appraisal explains its crossover design and kidney-injury outcomes, then considers statistical power, fluid given before ICU admission and the limits of applying the results to emergency department patients or other balanced solutions.
SPLIT trial published. Saline or Plasmalyte on the ICU? St.Emlyn’s Read More
What are the thromboembolic risks when prothrombin complex concentrate is used to reverse warfarin-associated intracranial bleeding? This 2015 appraisal examines a retrospective study, the importance of previous venous thromboembolism and the limitations of drawing conclusions from a different reversal regimen and clinical setting.
Nil nocere: do no harm reversing warfarin! Read More
How can emergency clinicians keep up with the literature without being overwhelmed? Natalie May compares journal clubs, alerts, RSS feeds, online appraisals and social media in this 2015 overview, weighing the effort, access and critical appraisal involved in building a personal approach.
Information Overload – Keeping Up-To-Date at #RCEM15 Read More
Could an emergency department visit create an opportunity to improve longer-term health? Natalie May’s 2015 RCEM teaching notes explore behavioural economics, brief conversations, injury prevention and local public health partnerships, while considering clinicians’ own habits and the importance of respecting patients’ choices.
Better Than Cure? Public Health in the ED at #RCEM15 Read More
Dan Horner’s 2015 RCEM masterclass asks how clinicians can investigate suspected venous thromboembolism without unnecessary testing or treatment. It explores pre-test probability, diagnostic tools and their limitations, then considers individual risks, patient preferences and the need to assess new approaches within local practice.
VTE masterclass with Dan Horner at #RCEM15 Read More
