Does a 2 g TXA bolus differ from a 1 g bolus followed by a 1 g infusion in traumatic brain injury? This appraisal examines a subgroup analysis of patients with CT-confirmed bleeding, separating its mortality and neurological findings from the limits of post hoc evidence.
2g or 1+1g Tranexamic Acid (TXA) in traumatic brain injury? Read More
Could intranasal ketorolac offer an alternative to intravenous analgesia for renal colic? This appraisal examines a randomised trial comparing the two routes, its pain outcomes and methodological limitations, including how the choice of comparator affects its relevance to UK practice.
Intranasal ketorolac in renal colic Read More
Could an emergency department visit be an opportunity to help someone stop smoking? This appraisal examines the COSTED randomised trial of brief advice, an e-cigarette starter kit and referral, alongside its quit-rate findings and the staffing and resources needed to offer the intervention.
Cessation of Smoking Trial in the Emergency Department (COSTED): A Critical Appraisal Read More
How feasible is a definitive trial of lidocaine patches for older patients with rib fractures? This appraisal examines recruitment, treatment crossover and follow-up in a randomised feasibility study, explaining why its clinical findings cannot establish whether patches improve pain or recovery.
Lidocaine Patches for Elderly Patients with Rib Fractures: A Feasibility Study Read More
A London Air Ambulance cohort study explores partial REBOA for trauma patients with life-threatening bleeding and recent or imminent cardiac arrest. This appraisal considers feasibility, survival and patient selection, alongside the limits of a small observational study and the training and systems needed to deliver the technique.
Review of an RCT of serratus anterior plane blocks in the emergency department for chest/rib injury. Is this now a standard of care?
Serratus Anterior Plane Blocks for rib fractures in the Emergency Department Read More
Iain and Simon review the February and March 2024 posts, discussing mechanical CPR, decompensated liver disease and long waits for older patients in the ED. The episode also covers resuscitation research from recent conferences and a project connecting global health practitioners.
Does using a bougie improve first-pass success during tracheal intubation? This appraisal examines a systematic review and meta-analysis, considering the quality and variety of the included studies and how equipment, technique and clinical setting affect the interpretation.
Bougie use in tracheal intubation Read More
