Antrim ED Meducation

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A tentative step into the online world of Emergency Medicine. Around the site you will find information about ED teaching in Antrim, plus other stuff like the RCEM curriculum, our Journal Club and some EM content with (hopefully) educational benefit. In the spirit of FOAM feel free to use and share!

We have a handbook for our Doctors containing site specific information and for that reason is not publicly available via the tab above.

Send an email to admin at gcs3.co.uk if you need access to the handbook and you work with us!

 


 

Quality checklist for a RCT

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Quality Checklist for Randomized Clinical Trials:

1] The study population included or focused on those in the emergency department.
2] The patients were adequately randomized.
3] The randomization process was concealed.
4] The patients were analyzed in the groups to which they were randomized.
5] The study patients were recruited consecutively (i.e. no selection bias).
6] The patients in both groups were similar with respect to prognostic factors.
7] All participants (patients, clinicians, outcome assessors) were unaware of group allocation.
8] All groups were treated equally except for the intervention.
9] Follow-up was complete (i.e. at least 80% for both groups).
10] All patient-important outcomes were considered.
11] The treatment effect was large enough and precise enough to be clinically significant.
12] Financial conflicts of interest. 

Vasovagal syncope

Just remember that a simple vasovagal episode can be associated with seizure like activity. This is not epilepsy but often described as such by witnesses. Labelling someone as epileptic has potentially profound impact on job, driving, leisure etc so take a careful history and examine properly!

Watch the YT video below for examples of vasovagal episodes with seizure type activity

https://www.youtube.com/watch?v=SOsNeUg1iGA&ab_channel=Syncopedia