doi.org/10.1136/bmj.g7094

The paper discusses sex differences in mortality and admissions to hospital emergency departments. The purpose of the paper is to examine the mortality and admissions to hospital emergency departments based on sex.

The abstract provides clear background information to the scope of the paper. Addressing the gap in knowledge the paper seeks to address. Relevant data used to address the gap in knowledge is identified. However, the explanation of the type of data source could be further explained. A significant finding is provided, but no supporting details are illustrated. The title features the focus of the paper, representing the significant source of data representing the overall paper. References within the paper are relevant, current, and correctly cited.

The introduction provides statements supported by relevant citations. Conclusions that are drawn from the introduction claims drawn on research data collected supporting cultural factors impacting the research findings acknowledging some of the limitations. Acronyms are defined prior to use throughout the paper. The paper provides a clear population selection for the research. A clear value and purpose are addressed, illustrating a gap in the knowledge leading to the objectives. As a note, statistical data could be included in the introduction to support what is already known about the topic.

The methodology uses a valid and reliable method to examine sex difference sin idiotic behaviors. Sections criteria for the Darwin Awards are well defined. The awards are open to a wide array of individuals; however, how is the sample group a good representation of the overall awards recipients?

The results are presented in a clear narrative format. Results are lucid in providing an understanding of the significance and presenting meaningful results. However, it appears that the graph does not provide any need as a result of the information presented in the narrative.

The conclusion clearly describes how the results of the paper confirm previous knowledge described that results in supporting the hypothesis. The use of theory on evolutionary selection provides a clear rationale for addressing the aims. Within the conclusion, there are significant implications addressed and quality suggestions for further research within the research focus area.

Furthermore, the conclusion identifies the research papers' limitations and sections bias. Through the conclusion, there is a significant future application message through the statement, "Until MIT gives us a full and satisfactory explanation of idiotic male behavior, hospital emergency departments will continue to pick up the pieces, often literally."

Overall: The research paper is well-written and addresses the major aims. Writing is free of typos without missing references and does not present any inconsistencies.

Strength/Impact: Through the research student, the paper discusses sex differences in mortality and admissions to hospital emergency departments. The examination of the mortality and admissions to hospital emergency departments based on sex is significant in preparing medical personnel for emergencies.

Specific Comments: Major Compulsory Revisions Abstract: Significant finding does not include supporting references. Introduction: Statistical data could be included in the introduction to support what is already known about the topic.

Methodology: How is the sample group a good representation of the overall awards recipients?
Minor Essential Revisions Graph: Appears not to be needed as a result of the clear narrative.