Do you change your practice when new evidence is published? Will these articles change your practice? Will you read them? Does anyone read them? I don’t know, but here is another month of my reading summarized. For the regular readers, you will have noticed I have taken a few weeks […]
postpartum hemorrhage
6 posts
Despite being widely talked about in glowing terms, the original WOMAN trial was clearly negative, with no benefit in their primary outcome, and no change in all cause mortality, and therefore no hint of benefit. (There is a lot of confusion about what disease specific mortality means when this paper […]
A key scientific lesson that I have discussed numerous times on this blog is that the interpretation of any new study must be placed within the context of what is already known about the topic. Although there must be equipoise for medical research to be ethical, equipoise does not mean […]
I have addressed the WOMAN trial before on First10EM. (Twice actually). Two mentions of a trial of TXA in postpartum hemorrhage might already seem a bit excessive for an emergency medicine blog. However, this trial has been discussed widely, and there seems to be some persistent confusion about the results […]
It has been a busy day in your emergency department. The precipitous delivery that occurred at triage was complicated by shoulder dystocia. Luckily you had some help, and one of your colleagues is managing the neonatal resuscitation. Nurses are starting to congratulate mom and pat you on the back, when […]
