JC: Drinking From the Firehose – Keeping Up with the Literature

DRINKING from the FIREHOSE

You’ve probably heard the claim that the body of scientific knowledge is growing at an alarming rate – doubling every 9 years is a recent estimate. It’s easy to hear your colleagues chatting about recent publications as if they’re the new Taylor Swift song (something you’ve never even heard of, unless you’re a Carley) and feel […]

Save Yourself Earache – Antibiotics and Otitis Media in the ED

Save yourselfearache

When I was a medical student a friend of mine completed a special study module in ENT which involved a case-based, evidence-based essay on a clinical topic of his choice. He chose acute otitis media. “How exciting!” you might (not) think. Fast forward to today and in PED I continue to be amazed by the […]

Karim Brohi on Vascular Injury at the London Trauma Conference

Vascular injury

No conversation about the evolution of trauma care in the UK is complete without a mention of Karim Brohi, Vascular and Trauma Surgeon, Professor of Trauma Sciences, friend of St Emlyn’s and all-round nice chap. His site trauma.org was sharing FOAM for 18 years before it was even called FOAM and he is a fantastic example of how social […]

Problems in Early Pregnancy – Induction

Problems in early pregnancy

The number of patients seen in each ED with problems relating to early pregnancy in the UK is very variable – some hospitals have rapid referral pathways for patients who know they are pregnant. It’s still worth thinking about early pregnancy problems though as all EDs see young women and many of these may not […]

Breathe! Approach to the child who is short of breath. St.Emlyn’s

BreatHE!

This post in the St Emlyn’s Induction Series covers the approach to the child who is short of breath. Check out the induction podcast below, followed by some learning points and further reading Step One – Don’t Panic! You have plenty of skills from your adult practice you can adapt to approaching the child who […]

St Emlyn’s at the London Trauma Conference – Day 2

2

It’s been another great day at the London Trauma Conference and we are pretty excited about the podcasts we’ve recorded today with the friendly and enthusiastic LTC speakers. Missed day 1’s podcast? Catch it here. Highlights from today’s talks included: Marius Rehn on the grey tsunami (issues in elderly trauma) Why older patients at greater […]

#CommunicatED 1: Discharge & Safety Netting in ED

SAFETY NETTING-2

#CommunicatED is a series on core communication topics in the ED. What do we mean by safety netting? Safety netting is a term used to describe the advice we give to patients or their relatives or carers as we discharge them from the Emergency Department. Since we send the majority of our patients home at […]

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 […]

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 […]

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, […]

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 […]