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Critical Appraisal

Emergency Medicine Practice Papers

for EPIC iBSc students and AWSEM trainees

Use the eLearning modules below to practice critically appraising papers. Each module contains an article, questions relating to the paper, video tutorials and model answers. At the end of the module you have the option of downloading an eCertificate as evidence for completing your critical appraisal curriculum goals. These modules work best on desktop computers and laptops. For the best experience please use Edge or Google Chrome

ARTICLE:  Efficacy of early controlled motion of the ankle compared with immobilisation in non-operative treatment of patients with an acute Achilles tendon rupture: an assessor-blinded, randomised controlled trial. Barfod et al. British Journal of Sports Medicine (2020) 54 : 719-724.

CONTENT AUTHOR: Dr Ryan Hobbs

eLEARNING CURATOR: Dr Rose Dean-Paccagnella 

CLICK HERE TO ACCESS

ARTICLE: Prehospital lung ultrasound for the diagnosis of cardiogenic pulmonary oedema: a pilot study. Laursen et al. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine (2016) 24:96

CONTENT AUTHOR: Dr Ryan Hobbs

eLEARNING CURATOR: Dr Rose Dean-Paccagnella 

CLICK HERE TO ACCESS

ARTICLE:  Oral prednisolone in the treatment of acute gout. Rainer et al. Annals of Internal Medicine (2016) 

CONTENT AUTHOR: Dr Ryan Hobbs

eLEARNING CURATOR: Dr Rose Dean-Paccagnella 

CLICK HERE TO ACCESS

ARTICLE:  A Randomised Trial of Epinephrine in Out-of-Hospital Cardiac Arrest. Perkins et al. The New England Journal of Medicine (2018) 379:8 

CONTENT AUTHOR: Dr Rose Dean-Paccagnella and Dr Ryan Hobbs

eLEARNING CURATOR: Dr Rose Dean-Paccagnella 

CLICK HERE TO ACCESS

ARTICLE:  Diagnostic Accuracy of Ultrasonographic Examination in the Management of Shoulder Dislocation in the Emergency Department. Abbasi et al. Annals of Emergency Medicine (2013) 62:2 

CONTENT AUTHOR: Dr Ryan Hobbs

eLEARNING CURATOR: Dr Rose Dean-Paccagnella 

CLICK HERE TO ACCESS

ARTICLE:  Routine Versus Selective Computer Tomography of the Abdomen, Pelvis, and Lumbar Spine in Blunt Trauma: A Prospective Evaluation. Deunk et al. The Journal of Trauma Injury, Infection and Critical Care (2009) 66:1108 

CONTENT AUTHOR: Dr Ryan Hobbs

eLEARNING CURATOR: Dr Rose Dean-Paccagnella 

CLICK HERE TO ACCESS

ARTICLE:  End-tidal Carbon Dioxide is Associated with Mortality and Lactate in Patients with Suspected Sepsis. Silvestri et al. American Journal of Emergency Medicine (2013) 31:64-71

CONTENT AUTHOR: Dr Ryan Hobbs

eLEARNING CURATOR: Dr Rose Dean-Paccagnella 

CLICK HERE TO ACCESS

ARTICLE:  Direct Comparison of High-Sensitivity-Cardiac Troponin I v.s. T for the Early Diagnosis of Acute Myocardial Infarction. Gimenez et al. European Heart Journal (2014) 35:2303-2311

CONTENT AUTHOR: Dr Ryan Hobbs

eLEARNING CURATOR: Dr Rose Dean-Paccagnella 

CLICK HERE TO ACCESS

ARTICLE: Mechanical versus manual chest compression for out-of-hospital cardiac arrest (PARAMEDIC): a pragmatic, cluster randomised controlled trial. Perkins et al. The Lancet (2015) 385:947

CONTENT AUTHOR: Dr Ryan Hobbs

eLEARNING CURATOR: Dr Rose Dean-Paccagnella 

CLICK HERE TO ACCESS

ARTICLE: A Prospective Randomised Controlled Trial on the Efficacy of Noninvasive Ventilation in Severe Acute Asthma. Gupta et al. Respiratory Care (2010) 55:536

CONTENT AUTHOR: Dr Ryan Hobbs

eLEARNING CURATOR: Dr Rose Dean-Paccagnella 

CLICK HERE TO ACCESS

ARTICLE: End-tidal carbon dioxide as a goal of early sepsis therapy. Guirgis et al. American Journal of Emergency Medicine (2014) 32:1351-1356

CONTENT AUTHOR: Dr Ryan Hobbs

eLEARNING CURATOR: Dr Rose Dean-Paccagnella 

CLICK HERE TO ACCESS

ARTICLE: The benefits and harms of intravenous thrombolysis with recombinant tissue plasminogen activator within 6 h of acute ischaemia stroke (the third international stroke trial [IST-3]):a randomised control trial. The IST-3 collaborative group. The Lancet (2012) 379:2352-2363 

CONTENT AUTHOR: Dr Ryan Hobbs

eLEARNING CURATOR: Dr Rose Dean-Paccagnella 

CLICK HERE TO ACCESS

ARTICLE: Removal From Play After Concussion and Recovery Time. Elbin et al. Pediatrics (2016) 138:3

CONTENT AUTHOR: Dr Ryan Hobbs

eLEARNING CURATOR: Dr Rose Dean-Paccagnella 

CLICK HERE TO ACCESS

ARTICLE: Inclusive Trauma Systems: Do They Improve Triage or Outcomes of the Severely Injured? Utter et al. The Journal of Trauma, Injury and Critical Care (2006) 60:3

CONTENT AUTHOR: Dr Ryan Hobbs

eLEARNING CURATOR: Dr Rose Dean-Paccagnella 

CLICK HERE TO ACCESS

ARTICLE: Effects of tranexamic acid on death, vascular occlusive events, and blood transfusion in trauma patients with significant haemorrhage (CRASH-2): a randomised placebo-controlled trial. CRASH-2 trial collaborators. The Lancet (2010) published online. 

CONTENT AUTHOR: Dr Ryan Hobbs

eLEARNING CURATOR: Dr Rose Dean-Paccagnella 

CLICK HERE TO ACCESS

ARTICLE: Trial of Decompressive Craniectomy for Traumatic Intracranial Hypertension, Hutchinson et al. The New England Journal of Medicine (2016) 375:12

CONTENT AUTHOR: Dr Ryan Hobbs

eLEARNING CURATOR: Dr Rose Dean-Paccagnella 

CLICK HERE TO ACCESS

ARTICLE: Double-Blind Prospective Randomised Controlled Trial of Dopamine Versus Epinephrine as First-Line Vasoactive Drugs in Pediatric Septic Shock. Ventura et al. Critical Care Medicine (2015) 43:11

CONTENT AUTHOR: Dr Ryan Hobbs

eLEARNING CURATOR: Dr Rose Dean-Paccagnella 

CLICK HERE TO ACCESS

ARTICLE: Paediatric trauma: injury pattern and mortality in the UK. Bayreuther et al. Archives of Disease in Childhood – Education and Practice (2008) 94:37-41

CONTENT AUTHOR: Dr Ryan Hobbs

eLEARNING CURATOR: Dr Rose Dean-Paccagnella 

CLICK HERE TO ACCESS

ARTICLE: Holding chambers (spacers) versus nebulisers for beta-agonist treatment of acute asthma (review). Cochrane Database of Systematic Reviews (2013) 9

CONTENT AUTHOR: Dr Ryan Hobbs

eLEARNING CURATOR: Dr Rose Dean-Paccagnella 

CLICK HERE TO ACCESS

ARTICLE: Orthopaedic aspects of paediatric non-accidental injury. Jayakumar et al. The Journal of Bone and Joint Surgery (2010) 92:2

CONTENT AUTHOR: Dr Ryan Hobbs

eLEARNING CURATOR: Dr Rose Dean-Paccagnella 

CLICK HERE TO ACCESS

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