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?

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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 […]

When you close your eyes – Syncope at St Emlyns

SYNCOPE-2

Can you believe it’s been more than two weeks since changeover? Hopefully you’re starting to find your feet in the Emergency Department but it can take a while to feel really comfortable so don’t worry if it still all feels new. This post is part of our continuing induction podcast series, designed to guide you […]

Every Breath You Take – An Introduction to the Breathless Patient in the ED

Induction to EM

Breathless patients are a challenge in the ED. Shortness of breath can be a frightening presenting complaint for both patients and doctors. As always, think about the possible life threatening causes and actively rule them out. For breathless patients think especially about: Pneumonia Asthma/COPD Pulmonary Embolism Acute left ventricular failure Pneumothorax     Breathless Patients Podcast In […]

Talking, Teaching & Technology – Victoria Brazil @SocraticEM at St Emlyn’s

Vic

You probably know by now that SMACC Gold was awesome. There simply aren’t enough superlatives to describe the magnitude of inspiration on offer from the world’s finest critical care speakers.  Putting together a programme like SMACC’s was an incredible feat – where would you even start?   The answer to that question comes naturally – […]

Paeds Tips You Won’t Find In Books – @_NMay at SMACC Gold

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Talking at SMACC Gold seemed like such a good idea in advance – and it was a wonderful (if faintly terrifying!) experience. When I came up with this title (yes – I was in the privileged position of picking the title of my own talk), I had envisioned something totally SMACC – a completely tweetable […]

Joe Lex – The Godfather of FOAM makes an offer you can’t refuse

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One of the greatest things about the FOAM movement is how much it feels like a family. There’s a real willingness to share and contribute to one another which is really refreshing, an ethos captured in Tim Leeuwenberg’s SMACC reflections blog post. And we know that:   A man who doesn’t spend time with his […]

JC: Scribes in the ED?

Escribano

Last week in the Journal Club we looked at this paper on the introduction of ED scribes from the American Journal of Emergency Medicine http://www.sciencedirect.com/science/article/pii/S0735675713001940    Understanding this paper requires some grasp of the difference in processes between US and UK Emergency Departments: for a basic description click below. Electronic Medical Records in the ED […]