Tag: journal club

JC – Just Checking: Do Follow-Up Phone Calls Reduce Reattendance to PED?

Lots of patients we see in the ED do not require hospital admission and this is especially true of the paediatric ED where children often attend with parents seeking advice for management of viral illnesses or treatment

JC: Is there any point teaching paramedics? St.Emlyn’s

OK, so it’s a provocative title, but it reflects my thoughts when I first saw this paper on teaching paramedics and in particular when I saw the conclusion. ‘….the evidence indicates that there is no

JC: When a subdural needs surgery in the elderly. St. Emlyn’s

The diagnosis and management of major trauma in the elderly is a really hot topic in Emergency Medicine right now.  Compared to younger patients, the elderly can sustain much more serious injuries even with apparently trivial

JC: POCUS for the breathless patient. St.Emlyn’s

This might be the paper (or perhaps the first of many papers) that I’ve been waiting for. Like many colleagues in the #FOAMed world I’m a big fan of point of care ultrasound (POCUS) in

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


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