Simulation Scenario
Patient with known COPD, presenting with DIB. X-ray showed large pneumothorax.
Discussion points
- Medical treatment of COPD (Charlotte's Notes) (RCEM Learning - Breathlessness)
- When to start NIV
- Seldinger technique for pneumothoraces (Charlotte's Notes) (RCEM Learning)
- Use of ultrasound (RCEM Learning)
Human Factors
- Taking time
- Not pre-judging what the scenario will be
- When to ask for help
HAP6
Showing posts with label HAP6. Show all posts
Showing posts with label HAP6. Show all posts
Friday, 2 June 2017
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.
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.
There’s a nice discussion http://rebelem.com/age-adjusted-d-dimer-testing/
CC20, CC21, HAP29, HAP6, HAP8
Wednesday, 18 January 2017
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
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
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