What’s your target BP for ruptured abdominal aortic aneurysm?

  A couple of years ago I was very (very, very) peripherally involved in an RCT investigating the management of ruptured abdominal aortic aneurysm. The IMPROVE trial was well designed and reported it’s results in 2014. The abstract is shown below, and I must admit that to my surprise there did not appear to be […]

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Predatory Journals – Enemies or Inspiration?

Science – unlike deranged, furious cursing – is not best cloistered behind closed doors, in the dark, with no audience. Dissemination of medical evidence is critical to refinement of practice and the generation of future research hypotheses. Yet, most evidence resides behind electronic publisher paywalls, accessible only for a fee, or to those with specific […]

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What are we doing in EM?

It’s been a tough few months in UK Emergency Departments and has caused me recently to do a bit of thinking, as I knew I was losing a bit of my zeal and enthusiasm for our specialty. Yes, there’s the constant unrelenting pressure over targets and working under very trying circumstances with overcrowding and understaffing […]

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Gallows humour at the hanging committee

Have you ever submitted to the EMJ or to any other journal for that matter? If so then you will know the fear and trepidation that results as you wait for the answer from the editor. Will your paper be accepted (hurrah) or rejected (boo). I’ve experienced much pain at the hands of editors and […]

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Saying I’m sorry. Iain Beardsell for EMJ

Like many of you, I suspect, many of my most “educational” experiences haven’t come from sitting in lectures, reading textbooks or even listening to podcasts. They have come simply from living life and all of the ups and downs that can be thrown at you. From witnessing the birth of your children, to a close […]

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How Are We Accelerating Knowledge Translation?

In contemporary medicine, the first exposure to new evidence comes first in abstracts and conference presentations, filters through peer-review into journal publication, and, finally, into textbooks. Then, the process of translating knowledge into practice change takes place, slowly percolating into the current physician base through guidelines and expert recommendation, followed by trainees indoctrinated into the […]

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