I will preface this COVID research roundup edition with the warning that we are making many decisions based on very weak science. I generally don’t include that many really weak studies in these write-ups, unless they are really entertaining. However, when searching for scientific answers to my questions about COVID, […]
Evidence Based Medicine
141 posts
The treatment of viral pneumonia is supportive care. The arrival of COVID-19 has not changed that basic principle. Due to the scope of the crisis, there is massive interest in finding other possible treatments. I will review the evidence for those various treatments, starting today with chloroquine and hydroxychloroquine, but […]
Time for another rapid recap of some important, inane, or interesting emergency medicine literature. Not a single paper about coronavirus though – you will have to stick to CNN for that. As always, the podcast version will be on the BroomeDocs podcast. Hold up – you want to shove that […]
For a long time, we have been planning an episode of the EMCases Journal Jam series that will look at the evidence for or against TXA in almost all clinical settings. (It has been in the planning stages for a long time, because it is un-surprisingly hard to coordinate the […]
Double sequential defibrillation has been all the rage over the last few years in emergency medicine. If one shock isn’t enough, use two. (By that logic, I am sort of surprised that no one has moved on to triple sequential defibrillation yet, but there is still time.) There has never […]
A new paper was published this month that is likely to change the way that a lot of people manage spontaneous pneumothorax (although I don’t think it will significantly change my practice)…
Everyone knows about the CRASH-2 trial. It is now a decade old. It doesn’t seem like it desperately needs a new blog post, but I think that understanding this trial is important when trying to interpret the results of the newer CRASH-3 or WOMAN trials, and other TXA research that […]
Sucrose is not a pain medication. That rant already exists on this blog. It was also the subject of my talk at the final SMACC conference, which is now online. Another blog post is probably unnecessary, but neither resource included the references from my literature review, so for those who […]
Tamiflu doesn’t work – at least not for anything important. In fact, because of its many side effects, it is probably harmful. For anyone following this evidence based debacle over the last decade, I think that conclusion is pretty clear. You can read a little bit about the Tamiflu saga […]