May 17, 2013

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It’s Good to Talk – Debrief in the Eme...

It’s Good to Talk – Debrief in the Emergency Department

There is so much I could write about the role and value of our own humanity in the Emergency Department although much of it has been said before by people far wiser than me. But there are situations when we are caught offguard; when things don’t go as we had hoped, or when they do  -but a powerful and unexpected emotional reaction is evoked. For many of us, as Emergency...

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May 16, 2013

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Cullen on high sensitivity Troponin. St.Emlyn̵...

Cullen on high sensitivity Troponin. St.Emlyn’s

There has been much debate about the use of high sensitivity troponins in the ED over the last year, but the picture is getting clearer as we see more trials looking at the utility of the assay in practice. ASPECT/ADAPT validation study: http://t.co/NBrflJAwJVNPV for -ve HsTrop at 0-2 hours, -ve ECG, TIMI <2: 99.7%. Ready for prime time now?April 28, 2013 6:48 am via Tweetbot...

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May 13, 2013

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Developing EM – ethical Emergency Medicine i...

Developing EM – ethical Emergency Medicine in Cuba. St.Emlyn’s

Lee Fineberg and Mark Newcombe are Emergency Physicians and Helicopter-Retrieval specialists from Australia, but more than that they seem to be a couple of top chaps who have devoted a great deal of time and energy into sharing emergency medicine around the world. Last year they organised the first Developing EM conference in Sydney aimed at spreading the skills and knowledge of...

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May 13, 2013

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Sir Alex Ferguson and Emergency Medicine

Sir Alex Ferguson and Emergency Medicine

This week Sir Alex Ferguson retired as the manager of Manchester United Football Club, after 26 highly successful years in charge.  Sir Alex has been an inspiration to me, in my life and my career.  He has been one of the most successful football managers in history, winning a total of 49 major trophies.  He has an insatiable appetite for success and was pretty good at...

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May 9, 2013

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Joe Lex at St. Emlyn’s

Joe Lex at St. Emlyn’s

On Thursday 25th April 2013 we were honoured to have Dr. Joe Lex at St. Emlyn’s as the first ever Visiting Professor in our virtual hospital.  What a way to start, with the man who has been described as the most famous emergency physician in the world.  More than 40 emergency physicians and medical students joined us for a fantastic evening at the Chancellors Hotel in...

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May 5, 2013

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Is that IV really needed?

Is that IV really needed?

Just a quick review of a thought provoking paper in the Annals of Emergency Medicine from a group of docs in Melbourne Australia. It’s thought provoking as I suspect that this reflects practice in many EDs across the developed world. In a larger tertiary teaching hospital the investigators tracked patients with peripheral IVs placed in the ED. They wanted to know whether they...

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May 4, 2013

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Delta signs for shock trauma. St.Emlyn’s

Delta signs for shock trauma. St.Emlyn’s

I recently had a bit of fun at the Telford trauma conference talking about the top 10 papers of 2012 and in passing mentioned the #dogmalysis of ATLS shock categories published in Resuscitation last year (with thanks to Cliff Reid for blogging on it). Anyway, the idea of clinical signs as predictors of outcome is very topical at the moment as those of us in UK trauma centres are...

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