Tag Archive: critical appraisal

JC: Salt or Sugar? Hypertonic saline for head injury at St.Emlyn’s.

‘Why did you give Mannitol?’ asked the Registrar. ‘Hypertonic saline was the standard of care for head injury at St.Elsewhere and I was told it reduced mortality’. OK, so that’s a paraphrased recollection from some time ago. Our patient had…
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JC: High sensitivity Troponin I on presentation. Is it enough to rule out ACS? St.Emlyn’s

As you surely know we love thinking about Troponin at St.Emlyn’s. We have our own world expert in Rick Body and there is loads of stuff here on the site about the use (and abuse) of Troponin as a diagnostic…
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JC The REVERT trial: Dip or doom for SVT in the Emergency Department?

SVT (supraventricular tachycardia) is something we see a lot of in Emergency Medicine.  Any emergency physician will tell you exactly how satisfying it is to treat a patient with SVT.  There must be close to a 100% successful cardioversion rate, one…
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JC: Don’t Write off the Respiratory Rate – Part One

Two really interesting PEM-relevant papers appeared online first in Archives of Disease in Childhood in July – and happy days, both are FOAM! What’s great about these papers is how they compliment each other in thinking about paediatric respiratory rates….
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