Parkinsons and Critical Appraisal - 24/5/17

1. Parkinsons Nurse on Parkinsons
 Linked to a journal article
 For further resources, we might like to look at RCEM Learning 

CAP12, CAP2, CAP30, CAP4, CAP8, CC1, CC2, CC3, CC4, CC5, CC6, HAP1, HAP13, HAP35, HAP36, HMP5 


2. Critical Appraisal 
Again, if you're needing updates on critical appraisal, look at RCEMLearning. 

We appraised an article looking at age adjusted d-dimers. 

- http://www.bmj.com/content/346/bmj.f2492

There’s a nice discussion http://rebelem.com/age-adjusted-d-dimer-testing/ 

CC20, CC21, HAP29, HAP6, HAP8

18.01.17 - Critical Appraisal of PESIT

Present: AL, CG, LH
Facilitating: CG

Paper Discussed:
http://www.nejm.org/doi/full/10.1056/NEJMoa1602172#t=articleDiscussion

Prevalence of Pulmonary Embolism among Patients Hospitalized for Syncope
Paolo Prandoni et al.  N Engl J Med 2016; 375:1524-1531October 20, 2016

Appraisals Elsewhere
EM Nerd - the PE could be an incidental bystander
REBELEM - scanned only inpatients, 48hour after admission. This study is likely to be an overestimate.
PulmCCM - clot burden is not a useful marker of clot severity. Older patient group. (Also has a useful reminder of pathophysiology).
CoreEM
WikiEM - selection bias
EM:RAP
StEmlyns - is it clinically significant?
EMLit - remember to PERC first!
Spectrum Bias

Pulmonary Embolism
Scroll to the bottom of this link for lots more references and links

Critical Appraisal 
Free courses are run by the library.
RCEMLearning website has loads of free (at the moment) critical appraisal resources.
CASP Checklist

http://www.wessexics.com/The_Bottom_Line/appraisingpapers/
www.guideline.gov
www.tripdatabase.com
www.thecochranelibrary.com
www.cebm.net
http://stemlynsblog.org/tag/critical-appraisal/
https://rcpsg.ac.uk/media/pa/P3/Files/Examinations/Dentistry/ISFE/Introduction%20to%20the%20Critical%20Appraisal%20Section%20updated%20June%202012.pdf