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Robert Goulden

@emrobg.bsky.social

Emergency physician | Epidemiology PhD student | Medical Flashnotes app creator

Robert Goulden @emrobg.bsky.social · 08/12/2025

We did not find evidence that it did. There was no difference in the risk of tachyarrhythmias, shock, or death in the following 24 hours, comparing those just above and below the treatment cutoff. However, there's a few important limitations...

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Robert Goulden @emrobg.bsky.social · 08/12/2025

Patients either side of the cutoff differed significantly in their probability of Mg supplementation, but were otherwise well matched. How did this affect clinical outcomes?

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Robert Goulden @emrobg.bsky.social · 20/11/2024

New WTA resus thoracotomy (RT) algorithm. 2 new/key points: -Now incorporates POCUS: if no organised cardiac rhythm and no tamponade on POCUS, no RT (regardless of time since arrest / mechanism). -RT if pulse but refractory SBP <60 plus {blunt/penetrating thoracic injury OR tamponade on POCUS}

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Robert Goulden @emrobg.bsky.social · 18/11/2024

First, the error. Cochrane mortality OR is based on 3/111 deaths w/diuretics vs. 12/110 w/placebo. But looking at the 3 source RCTs, there are in fact *4* deaths in the diuretic arm. Adding this, the OR remains just about 'significant', 0.30 (0.10-0.98), but very fragile (2/4)

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