Journal Club

Musings form the evidence based journal club at St Emlyns

JC: TICH TICH BOOM? TXA in ICH. St Emlyn’s

TXA. Huh. Good god y’all. What is it good for? Absolutely everything. This appears to be the alternative hypothesis for the TICH-2 study 1, published last week in the Lancet. Off the back of recent evidence suggesting early IV tranexamic…
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JC: Oxygen in the Acutely Unwell Patient. St Emlyn;s

When I started in medicine all resuscitation started with some form of supplemental oxygen. Whether that was by face mask, LMA or intubation, oxygen was the mainstay of initial treatment and you would even fail exams for not suggesting it…
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“To Protect and Serve…and Drop Off”. Penetrating Trauma in Philadelphia. St Emlyn’s

Penetrating trauma is a rising problem on both sides of the Atlantic – just tune into any of the major news channels to see the effect.  Its increasing burden on US prehospital deaths from 2007 to 2014 was recently highlighted…
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Top 10 trauma papers 2017-2018 for @traumacareUK conference. St Emlyn’s

This week I am at the Trauma Care UK conference. If you’ve not been to this one then you should, it’s friendly, great value and aims to influence and engage with all aspects of trauma care from injury prevention right…
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JC: Balanced fluids vs Saline on the ICU. The SMART trial. St Emlyn’s

There has a been a little flutter of activity in the #FOAMed world this week about two trials published in the NEJM on the subject of balanced fluids in the care of critically ill patients, and also on admitted patients…
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