Tag: journal club

JC: Scribes in the ED?

Last week in the Journal Club we looked at this paper on the introduction of ED scribes from the American Journal of Emergency Medicine http://www.sciencedirect.com/science/article/pii/S0735675713001940    Understanding this paper requires some grasp of the difference

JC: Plasma-lyte or Saline in Trauma? St. Emlyn’s

We’ve been having debates about what fluids to use in trauma and sepsis for about as long as – well – about as long as we’ve had fluids.  We’ve had quite a bit of dogma going round,

JC: BestBets checklists for critical appraisal. St.Emlyn’s

Critical appraisal is a core skill for all emergency physicians. You must stay up to date with the literature…, but there is just SO much of it. What should you believe and what should you

JC. Should we X-ray before manipulating a displaced ankle fracture? St.Emlyn’s

At St.Emlyn’s we recognise that there are a lot of journals out there. Far too many to keep a track of and far too many for one human to read and collate (thereby providing evidence

JC: Lidocaine for paediatric mouth ulcers at St.Emlyn’s

It’s always great to see a new RCT in paediatric emergency medicine as let’s face it there are far too few! PEM remains an area of practice where data is often extrapolated from adult practice

JC: Major Transfusion Protocols – evidence or lack of? St.Emlyn’s

Major Trauma Protocols for transfusion in the emergency department are a good thing aren’t they? I certainly think so, it’s something we have instituted in both paediatric and adult practice. Surely there must be robust

JC: Did Video kill the Laryngoscope star? Here comes the evidence. St.Emlyn’s

httpv://www.youtube.com/watch?v=Iwuy4hHO3YQ Although Britain and Ireland appear to be really rather fabulous at Rugby….thought I’d get that in there….., I do worry that we are falling behind the curve in terms of laryngoscopy in the ED.

JC: Point of care USS for Hypotension in the ED. St.Emlyn’s

[blackbirdpie url=”https://twitter.com/PBSherren/status/323826308276699138″] Many thanks to Peter Sherren for spotting this paper published in Intensive Care medicine this month. Point of care ultrasound is one of my interests and only this week I met a patient

JC The end of the road for colloids in sepsis??? St.Emlyn’s

Are colloids more effective than crystalloids in reducing death in people who are critically ill or injured? Updated Perel P, Roberts I, Ker K Published Online: February 28, 2013 So it looks as though Cochrane

JC: Clopidogrel + head injury = CT?

We already know that patients taking warfarin are at very high risk of intracranial haemorrhage (ICH) after head injury, and that delayed bleeds aren’t so uncommon either.  In fact, we’ve even discussed whether such patients

Translate »