Jun 10, 2013

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Children are just little adults. SMACC2013. St.Eml...

Children are just little adults. SMACC2013. St.Emlyn’s

Here at St.Emlyn’s we like a bit of #dogmalysis. We like to challenge established thinking and perhaps to look again at what we all know to be true. One such dogma is that ‘Children are not little adults’. This is embedded into our training from undergraduate level, through postgraduate training and it’s one of the most common (and quite frankly the laziest)...

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Jun 3, 2013

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APLS weight estimation – don’t do it (...

APLS weight estimation – don’t do it (well almost never). St.Emlyn’s

I’m an APLS instructor & course director and have contributed various bits and bobs over the years and it’s a great course. I’d go further and say that it’s a really great course to get a grounding in Paeds resus that has made a real impact to paediatric care around the world. I love it, the organisers, the content and pretty much everything about...

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May 31, 2013

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JC: Do paediatric CT scans cause cancer? St.Emlyn&...

JC: Do paediatric CT scans cause cancer? St.Emlyn’s

If I think back to my practice a few years ago (as I’m getting older) there is no doubt that the number of CT scans I’ve performed from the ED has increased. In both my adult and paediatric practice the indications for CT have increased, the ease of obtaining a scan has decreased and as a result I’ve almost certainly delivered many more mSieverts in the last year...

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May 28, 2013

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Do Emergency Physicians judge patients on race, se...

Do Emergency Physicians judge patients on race, sex, sexual orientation, weight, etc.? St. Emlyn’s

A few years back I picked up a book at the airport by a chap called Malcolm Gladwell, a rather famous writer it turns out and one familiar to many EPs who has produced some excellent work. I like his books as they make me think, it’s work that challenges my past assumptions and in some cases raises questions that make me feel quite uncomfortable. I’ve read a few of his...

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May 25, 2013

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Emergency Medicine: A risky business part 6. How m...

Emergency Medicine: A risky business part 6. How many steps to disaster?

So what do we mean by a miss exactly? Is it always a terrible thing and why is it that if we constantly miss diagnoses (we do you know) we are not in court every week? Hopefuly if you have read parts 1 to 5 of risky business then you are now absolutely convinced that error is an integral part of the diagnostic  process, in fact it is so much a part of the diagnostic process that...

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May 21, 2013

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Good news – AoME + GIC = Membership. St.Emly...

Good news – AoME + GIC = Membership. St.Emlyn’s

            Many Emergency Physicians are deeply committed to education. Many will be also be instructors on life support courses. This will often be done in their own time and at not inconsiderable personal sacrifice…. In the current climate we are also facing some pressures in job plans and rosters to justify our efforts and activities beyond...

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May 21, 2013

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JC Cryo + TXA for trauma apparently it also MATTER...

Thanks to Karim for a heads up on this one. Just a quick post this time, but another paper looking at the use of tranexamic acid in trauma and in this case the potential synergistic effect of cryoprecipitate together with TXA in trauma patients. MATTERS-II : Potential synergistic effects of cryoprecipitate and TXA on mortality after trauma haemorrhage: http://t.co/SwH5YyzGa7May 17,...

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