• TWIL-3

    This week I learnt The SNOOP mnemonic is useful to rule out serious cause of acute headache Pain scores at triage are not associated with admission or mortality In rotator cuff shoulder pain a one of session of physio is equally effective than a long course (but no placebo control). Ebola has made (another) resurgence in the democratic republic of…

  • TWIL-2

    This week I learnt A 6 hour CT is the key to ruling out Subarachnoid haemorrhage (if reported by a neuro-radiologist) It might be time to reframe “sepsis” as a part of the dying process in a significant proportion of patients. Statically broad-complex tachycardia is going to be VT. Cerebral oedema in DKA doesn’t seem to related to sodium.  

  • TWIL 1

    This week I learnt . . . Antibiotics are no longer indicated for simple diverticulitis (NICE guidelienes from 2019), This is based on a bang up to date RCT from 2012. In major trauma, a high glucose(>11) is associated with mortality. (But not as much as age and hyperthermia). Emergency doctors and patients disagree about the presenting complaint about a…

  • Is shorter, lower dose amoxicillin safe in kids discharged with pneumonia in a UK setting?

    MSF Blog Surprise trauma Trauma basics Trauma skills Blunt trauma Penetrating trauma Evidence reviews Compendium Cardiology Infectious disease Paediatrics Neurology Pharmacology Toxicology/electrolytes Respiratory Best of FOAM Websites Journals Podcasts Ultrasound Anaesthetics French About A review of some of the latest low-resources emergency medicine evidence Is shorter, lower dose amoxicillin safe in kids discharged with pneumonia in a UK setting? Effect…

  • Duration of antibiotics in Kids with community pneumonia

    MSF Blog Surprise trauma Trauma basics Trauma skills Blunt trauma Penetrating trauma Evidence reviews Compendium Cardiology Infectious disease Paediatrics Neurology Pharmacology Toxicology/electrolytes Respiratory Best of FOAM Websites Journals Podcasts Ultrasound Anaesthetics French About A review of some of the latest low-resources emergency medicine evidence Antibiotic duration for presumed pneumonia in children Amoxicillin for 3 or 5 Days for Chest-Indrawing Pneumonia…