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.
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 […]
JC: POCUS for the breathless patient. St.Emlyn’s Read More
I am lucky enough to work in both paediatric and adult trauma centres in Virchester. I think this is a good mix as really nasty paediatric trauma is rare but
JC: Paediatric massive transfusion. St.Emlyn’s Read More
This week the blog, the podcast, SMACC and twitter have been ‘off on one‘ about belief, evidence, adoption, change and practice. It has been great to tackle one of the
JC: A decade of reversal: an analysis of 146 contradicted medical practices. Read More
Here at St.Emlyn’s we are big fans of Tranexamic Acid in trauma. We believe that it makes a difference to overall mortality in patients likely to be bleeding and also
JC: Tranexamic acid – does the evidence stack up? Read More
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
JC: Scribes in the ED? Read More
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
JC: Plasma-lyte or Saline in Trauma? St. Emlyn’s Read More
For reasons which I can’t discuss here I’m quite interested in the incidence of pituitary axis dysfunction following head injury, and indeed in the outcomes following all severities of head
JC: Anterior pituitary disorder following head injury Read More
This post is about a paper we published today in Heart – the result of more than 9 years of work – phew! Here’s a link to the paper (open
The MACS Rule: Immediate ‘rule in’ and ‘rule out’ for suspected cardiac chest pain Read More
