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Category Archives: critical appraisal

New in EM 001: What does a patient’s smile tell you about their chance of having a PE?

8 Apr

Originally Published on RCEM Learning Podcast April 2017 As part of the RCEM Learning Podcast I record reviews of recent literature with Dave McCreary. We’ve been doing this for about a year now and you can hear them all on … Read More »

critical appraisal, RCEM Learning Kline, PE 1 Comment

Non inferiority trials

30 Nov

There’s been a recent rash of ‘non inferiority’ trials in the medical literature. The new oral anticoagulants are a great example. It’s hard to blame investigators. Proving that Drug B is better than Dug A is a very difficult thing … Read More »

board review, critical appraisal CFN, critical appraisal, FCEM, frcem, non inferiority 1 Comment

Hypoxia in Pulmonary Embolus

24 Sep

Hypoxia is almost ubiquitous in PE (In the comments Liam suggests otherwise. I honestly can’t find a clear answer. in PEITHO, a trial of submassive PE, 85% were receiving oxygen suggesting hypoxia. Certainly in the tiny PEs, lots of people don’t … Read More »

board review, critical appraisal, thinking about medicine hypoxia, PE 7 Comments

Magnesium for Migraine

23 Feb

Migraines are fun to treat. Not so fun for patients but at least we can fix most of them. It’s always nice to have another tool or two in the armamentarium for treating migraine. While hardly surprising given this noble … Read More »

critical appraisal critical appraisal, headache, magnesium, migraine Leave a comment

RCT of ED Renal Ultrasound for renal colic

22 Sep

The Trial Smith-Bindman R, Aubin C, Bailitz J, Bengiamin RN, Camargo CA Jr., Corbo J, et al. Ultrasonography versus Computed Tomography for Suspected Nephrolithiasis. N Engl J Med. 2014 Sep 18;371(12):1100–10.  They managed to come up with the STONE trial … Read More »

critical appraisal kidney stone, nephrolithiasis, ultrasound 4 Comments

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