Welcome to the new Tamingthesru
Same great content - new look - improved search
Transfusion in Trauma: One Ratio to Rule them All??
A couple weeks back we met for the first journal club of the year in our residency. For this first session, we tackled the clinical conundrum of transfusion ratios in trauma. The question came from a brainstorming session with the PGY-1 and 2 residents, where the following PICO question was derived:
Patients: Victims of both blunt and penetrating trauma in need of blood transfusion as a part of the their initial resuscitation
Intervention: high plasma and platelet to PRBC ratio transfusion
Comparison: low plasma and platelet to PRBC ratio transfusion
Outcome: Mortality (in patient and 30 day mortality)
A Crack in the Ice? An In-Depth Breakdown of the TTM Trial
Like many other Emergency Medicine residencies, we took the time in our last Journal Club to break down the Targeted Temperature Management Article. There is tons out there in the #FOAMed space about this trial. And, one of our 4th year residents, Dr. Trent Wray, took some extra time to break down the article in gory detail and put it into the context of the previously published literature.
The Basics of Evidence Based Clinical Practice - Asking Good Questions
Evidence Based Clinical Practice (EBCP) is a way to bring the sometimes obtuse world of evidence based medicine to the bedside. Instead of getting lost in p-values, ANOVA, student t-tests, multivariate logistic regressions, EBCP approaches evidence based medicine always through the lens of a patient under a clinician's care. It is a process that starts with asking carefully crafted questions and efficiently searching for answers to those questions. Subsequent analysis of the articles found in the clinician's searching seeks to answer: are the results valid? what are the results? and finally, how can one apply the results to patient care?
In this short video, we go through the crucial initial step of the process: asking a question. Success in asking answerable, well crafted questions begets successful search strategies.