Hide And Seek: Button Batteries in the Emergency Department

Button Batteries

We see lots of kids presenting to the ED with “things” where they shouldn’t be (we see adults too, sometimes – but that’s a whole set of different stories).  Foreign bodies show up in all sorts of forms in all sorts of places, typically in the preschool and early school age kids who display a potentially […]

Q&A with a Virologist: Ebola in the ED at St.Emlyn’s

Ebola

This week Sarah Payne from the North East of England joins St.Emlyn’s. Sarah is no stranger to blogging and is a keen #FOAMed advocate as her bio below clearly shows. Specialty trainee in Emergency Medicine in the Northern region, currently out of program as a Simulation Teaching Fellow across the Newcastle Hospitals trust and Associate […]

Acute Heart Failure guidance. Nice, NICE or Not? St.Emlyn’s

NICE AHF guidelines stemlyns

It’s fair to say we quite like a guideline here at StE’s. We have, probably like your ED, evidence-based clinical decision support guidelines for common (think cardiac chest pain and ?PE) and not so common (think porphyria) conditions with the intention of speeding decision-making, delivering safer care and reducing waste on unnecessary admissions and tests. […]

JC: Should USS be first investigation for renal colic? St.Emlyn’s

POCUS

A few years ago I was asked to see a patient in the rapid assessment unit with severe pain in the flank. She looked as though she had renal colic and we instituted the usual management, most notably analgesia with IV NSAIDs and eventually opiates. At the time I was firmly on the learning curve […]

Developing EM – Support an African Delegate

Developing EM AFCEM

Emergency Medicine is an emerging specialty the world over and we at St Emlyns wholeheartedly support the fantastic Developing EM conference and its aims. Teaching and learning collaboratively across geographical borders is a challenge; teaching and learning across huge resource disparity is an even bigger one. The African Federation of Emergency Medicine relies on financial […]

Top ten tips for In Situ Sim at St.Emlyns.

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I recently had the opportunity to speak at the European Society of Emergency Medicine Conference in Amsterdam about in situ simulation. Although the title of the talk was Guerrilla Sim it was largely about the nuts and bolts of getting simulation to happen in your own departments. We’ve been doing this for about 18 months […]

Stop Crying Your Heart Out – Paediatrics at St Emlyn’s

ED INDUCTION

Most EDs in the UK see a mixture of adult and paediatric patients. You’ve probably seen sick adults as part of your F1 year but we know that for many new ED docs this is the first time you’ve seen a paediatric patient since medical school. So welcome to the world of screaming, puking, hysteria […]

For the Record: Can Patients Record Clinical Consultations?

RECORD

Somewhere in the ITV archives is television footage of me, on my first day in the PED as an ST3 doctor, assessing a child with a scald in resus. I knew before I started my six month PEM rotation that the crew weren’t quite finished their filming commitments but at no point had I considered that, […]

When Victoria Brazil came to St. Emlyn’s: The Full Story

VICTORIA BRAZIL (2)

If you could pick just one speaker from SMACC Gold to give a bespoke, inspiring talk to you and your colleagues locally you probably couldn’t do it. Your mind would shut down – there were too many good speakers. Imagining, however, that it were possible to choose just one, there’s more than a very good […]

Obi Wan’s Guide to Emergency Medicine. Rich Carden at St.Emlyn’s

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Ok, so Obi Wan Kenobi, to my knowledge, never actually practiced emergency medicine, although he had some pretty awesome Jedi skills that would work a treat in the ED.  For those of you unfamiliar with his work, he was pretty instrumental in the Star Wars trilogy (original) and had some serious skills like the Mind […]

JC – Just Checking: Do Follow-Up Phone Calls Reduce Reattendance to PED?

Tasting-2

Lots of patients we see in the ED do not require hospital admission and this is especially true of the paediatric ED where children often attend with parents seeking advice for management of viral illnesses or treatment for minor injuries. Communication and reassurance is a huge part of our role, especially where children are concerned and assessment […]

Imaging in Paediatric Trauma – Guide to the RCR Guidelines. St.Emlyn’s

IMAGING

You’ve probably already seen that the Royal College of Radiologists this week published CEM-approved guidelines for imaging in paediatric trauma. The document itself is open access, isn’t actually that long and to the authors’ credit it’s relatively easy-to-read so you might want to stop reading this and start reading it instead :-). So… What is […]

All Shook Up – Diffuse Axonal Injury with John Hell

Diffuse Axonal Injury stemlyns

Regular readers will be aware that Virchester is primarily based in the heartland of the industrial North of England, but in an audacious merger they joined forces with one the country’s major teaching hospitals in the sunny South. John Hell is a Neurointensivist at University Hospital Southampton and very kindly gave up an afternoon to […]

College of Emergency Medicine Conference Exeter: Day 3 round up

May the FOAM be with you

Another great day in Exeter at the College scientific conference. Superbly organised by Adam Reuben and his colleagues with a fantastic, engaging, entertaining and accessible program. It has been a real triumph of a conference in a venue outside of the major conurbations. We can all learn from the organising teams enthusiasm, creativity and general […]

College of Emergency Medicine Conference: Exeter 2014 Day 2

May the FOAM be with you

Another great day in Exeter at the College academic conference. Many great presentations from great teachers and researchers. Here are some of the highlights from day 2. 1. A great talk from James Robson on rugby medicine. A great talk with fab videos on pitchside medicine. 2. Taj Hassan on the drive for improving quality […]