Explore the principles of evidence-based medicine, including critical appraisal, clinical decision-making, and the latest research in emergency and acute care. Our posts help clinicians interpret evidence, apply it to practice, and improve patient outcomes with a scientific approach.
I think it’s probably fair to say that stroke physicians and emergency physicians disagree about the utility of thrombolysis in acute ischaemic stroke. They love it, probably because of its […]
JC: Kicking against the prick: Systematic Review of stroke thrombolysis Read More
It seems as though hypothermia is the therapy that never quite gets there. The Targeted Temperature Management1,2 trial showed no benefit post ROSC and the RINSE trial 3,4 showed no
Hypothermia in status epilepticus. St.Emlyn’s Read More
I had the honour to speak at the very first Northern Emergency Medicine conference back in 2014 (I think). I had a fantastic time and met so many enthusiastic and
10+1 papers for the Northern Emergency Medicine conference. St.Emlyn’s Read More
In recent years there have been great efforts amongst researchers in improving the diagnosis of appendicitis in the ED. A range of clinical risk scores, biomarkers and imaging techniques have
JC: Does every appendicitis need admission? St.Emlyn’s Read More
Every so often, a paper comes along that contradicts your gut feeling and/or current practice and makes you really think hard. That happened to me this weekend. You may have
JC: Clots in Pots gets Top Spot. Thromboprophylaxis at St.Emlyn’s Read More
I expect that some people will be offended by the image above. That’s the point though, images, attitudes, initial impressions are powerful drivers of how we feel and behave. What
JC: The Impact of Rudeness on Medical Team Performance Read More
123We are in a new age of anticoagulation, Warfarin is becoming a drug of the past. To the benefit of our patients we are no longer dragging them into hospital
JC: Reversal of DOACs with Andexanet Alfa. St.Emlyn’s Read More
The management of traumatic cardiac arrest has been a popular topic over the past few years and featured in numerous social media and conferences. We’ve talked about here at St.Emlyn’s
JC: Push or Cut? Traumatic Cardiac Arrest Read More
