Are we too hot to cool? TTG post cardiac arrest

A patient comes is brought in by ambulance in cardiac arrest. They were lucky, bystander CPR was started almost as soon as the patient arrested and they have been having high quality CPR throughout. In hospital resuscitation continues and the … Continue reading

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Week 27 – Magnesium and acute severe asthma

Asthma is an incredibly common presentation to the emergency department, from those who are mildly wheezy and are discharged home the same day to those patients who have life threatening asthma and require intubation and ventilation.  The grading of the … Continue reading

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Week 26 – Is normal saline bad for kidneys?

I have to admit choosing this week’s #twitjc paper because of a particular annoyance of mine. That annoyance is seeing a patient’s IV fluid rota with litres and litres of 0.9% normal saline written up for days on end. I … Continue reading

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Week 25 – Shaky ground for HFOV…?

A huge thank you to the wonderful @paedssho for writing this week’s summary – I am currently on a run of seven nights in ED and have handed over the journal club this week to David…. This week finds #twitjc … Continue reading

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Week 24 – Discussion Points

Was the methodology of this study appropriate to answer the clinical question? Were the outcomes, both primary and secondary, appropriate? All patients underwent an endoscopy within 6 hours. Are the results of this trial applicable in other centres where patients … Continue reading

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Week 24 – To transfuse or not to transfuse in Upper GI bleeds

A patient is brought into resus vomiting up fresh red blood. The team jump into action, assessing the patient and diagnosing an upper GI bleed, gaining intravenous access, taking blood samples and taking a sample for a cross-match. Does this … Continue reading

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Week 24 – Transfusion & Upper GI Bleeds

The Twitter Journal Club returns for 2013 on 20th January and our first paper of 2013 will be…. Transfusion Strategies for Acute Upper Gastrointestinal Bleeding Look out for the paper summary which will follow very soon and remember to join … Continue reading

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Week 23 – Discussion Points

1. Was the methodology of this study appropriate to answer the clinical question? 2. This study was dramatically underpowered & its results combined with the WARFASA trial. Does this affect how we view its results? 3. Is the pooled data … Continue reading

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Week 23 – Low dose aspirin and VTE

Go into any medical ward in a hospital, open up all the drug charts in a bay of patients and you will find aspirin prescribed. Aspirin is extremely widely used, I don’t think an oncall has ever gone by in … Continue reading

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The return of Twitter Journal Club

After a break #twitjc is coming back very soon….. Tomorrow the details of our return will be announced. In the meantime I need your help. I would love to have some feedback on the journal club and how we could … Continue reading

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