New NICE guidance on intravenous fluid therapy for adults in hospital: how is this relevant to EM?

  The National Institute for Health and Care Excellence (NICE) has recently issued new guidance on the use of intravenous fluids in adult patients. For those clinicians not familiar with it, NICE is the UK-based body that provides guidance by supporting healthcare professionals and others to make sure that the care they provide is of the […]

JC: Milk for refractory migraines?


Every day is a school day in Virchester! When you thought you had heard everything about Propofol with recent media cover over the unfortunate event involving a pop star, a paper from Iran suggest that there would be a role for its use in refractory migraines! What was this paper about? This study was set […]

NICE on headaches


  Everyday is a school day!   NICE (the National Institute for Healthcare and Clinical Excellence) have recently issued their new recommendation on the management of headaches in young people and adults. For those colleagues not working in the UK and not familiar with the funky term, NICE was set up over a decade ago […]

JC: Gut feeling about serious paeds infections

bmj paper

So, I am back to rainy Northern England after my exotic travels to Cameroon and Gran Canaria (note: I still managed to join Twitter JC every Friday!) to find a paper on my desk for the weekly JC. We have a long tradition for the weekly face-to-face JC in Virchester but we also run a […]

The wise thirsts for questions, not answers!


The following post displays comments from tweets about speakers at the 14th ICEM in Dublin in June 2012. Some reflect evidence-based medicine, some just personal practice supported by expert opinion only. We post these in order to generate reflection and lateral thinking. Remember: The wise thirsts for questions, not answers! Ruben Strayer: Cricoid pressure is futile during […]