JC: K is Good For You – Subdissociative Ketamine vs Morphine in the ED

K IS GOOD FOR YOU

It’s no secret that I’m a fan of ketamine and its clinical applications. So when I spotted this paper in my daily PubMed notification email (see here for tips from the St Emlyn’s team on how to set these up) I was immediately interested. Even before I was an EM trainee I worked in an […]

The SWEETest Sim – Real People, High Fidelity at #SWEETs15

The sweetest

  In March 2015 I invited myself to the Swedish Emergency Medicine conference SWEETs in Stockholm. It was a huge privilege to learn about EM in Sweden and to work alongside some of my favourite people. I had an absolutely amazing and exhausting time – as well as presenting on presentation skills for the Teaching […]

Trials and Tribulations: Ross Fisher on Paediatric Trauma at the London Trauma Conference

trials & tribulations

  You’ve probably worked out by now that the London Trauma conference was full of awesomeness and controversy. Obviously I’m biased, but I found the paediatric stream particularly engaging and I was lucky enough to be able to grab some post-talk discussion time with Ross Fisher, friend of St Emlyns and Consultant Paediatric Surgeon at […]

Trauma: An Elite Sport? Tom Evens at the London Trauma Conference 2014

trauma

One of the things I love about conferences is listening to “fringe” talks – those which don’t necessarily cover a review of a clinical topic but encourage us to look at our overall practice in a different way. At the London Trauma Conference back in December 2014 I caught up with Dr Tom Evens – Tom is […]

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 […]