Professor Simon Carley

Professor Simon Carley is Consultant in Emergency Medicine. He works in adult and paediatric emergency medicine. He has published over 100 academic papers and has a passion for research and education. Google

Opiate Overdose in the ED. St.Emlyn’s

Opiate OD in the ED

Listen to the podcast on the management of Opiate OD in the ED by clicking on the link below. Opiate overdose is a common presentation to the ED. It has a significant mortality in the drug using population and although there are antidotes available the traditional approach to reversal may in itself cause harm. This […]

JC: ED RSI – you can do it. St.Emlyn’s

Stemlyns RSI ED

If you follow my twitter feed, or the feed of the @stemlyns team then you will know that we are advocates of ED RSI. Our patients often present unexpectedly, in extremis and with airway compromise. Resuscitation begins with A for airway so if you envisage yourself as a resuscitationist then many of us believe that […]

PODCAST update with Mark Wilson on the GoodSAM app at the London Trauma Conference

Mark Wilson GoodSAM stemlyns

    Earlier this year we published a blog on the GoodSAM app, a device developed by Mark Wilson and colleagues in London that has a real potential to save lives. Since then we have heard him speak at a number of conferences including an inspiring talk at the London Trauma Conference. Iain was lucky […]

SIMWARS: Med-U-Tainment at SMACCGold with St.Emlyn’s

CHAMPIONS Stemlyns

In 2014, as in 2013, the SMACC conference arguably ended where it all began, in the roots of resuscitation, with clinical teams coming together to resuscitate and compete against the challenges of knowledge, skill, attitude and relationships. We joined in a celebration of those most challenging of times when circumstance, pressure, illness, injury and time conspire to […]

Impact Brain Apnoea with Gareth Davies from London HEMS. St.Emlyn’s

impact brain apnoea

I was recently discussing the management of traumatic cardiac arrest with one of my junior colleagues and was surprised to hear that they had not heard of impact brain apnoea as a cause of respiratory and subsequently cardiac arrest. Then I reflected on this and thought that my surprise was rather unfair as I’d not […]

JC: Progesterone’s pleiotropic failure in head injury. St.Emlyn’s

More Testosterone

Pleiotropic might just be my favourite new word, thus overtaking November’s great word ‘Glyptotek’ (Danish for Sculpture museum). I digress. Pleiotropic is a word used to describe the ability of a gene to affect multiple phenotypic traits. Great, what’s that got to do with traumatic brain injury you ask? Well, Progesterone has been described as […]

JC: STI’s at Christmas. St.Emlyn’s

Image by OpenClips on Pixabay

  We frequently get asked to do ‘a little bit more’ in the ED. Over the years we have been asked to screen for lots of conditions that may be opportunistically screened for, or which may be associated with the presenting condition. Alcohol consumption for example is related to many ED attendances and so it […]

Studying for FCM (Fellow of Corridor Medicine) at St.Emlyn’s

St.Emlyn's waiting room

(Ed – there are two parts to this post. The slightly tongue in cheek beginning and a more serious endpiece that addresses the very real and very dangerous issues of ED overcrowding. If you’re interested in the useful stuff then skip to the end)   Why have we created the FCM? Emergency physicians are renowned […]

JC: Intra-arterial treatment for Stroke

stemlyns mr clean trial

Here at St.Emlyn’s the whole team loves a good stroke trial as they always throw up controversies and concerns about methods, outcomes and our absolute favourite ‘statistics’. That said, although we love discussing the trials we remain sceptical about the benefits of thrombolysis in stroke, with the debate about statistics, outcomes and methods raging across […]

JC: PARAMEDIC trial m-CPR at St.Emlyn’s

m-CPR

  In some ways you might be forgiven for thinking that 2014 was a bit disappointing in terms of EBM. A number of clinical trials that I’ve been looking forward to for some time have in effect produced negative results. Early goal directed therapy, target blood pressures for sepsis, hypothermia for post cardiac arrest patients […]

What is Gestalt? St.Emlyn’s

gestalt stemlyns

If you’re a #FOAMed fan then you will have come across the term Gestalt quite a lot in recent months. Many conversations about clinical decisions hinge around this elusive, slippery and somewhat obscure term. Perhaps it is in a rather circular manner something that is difficult to define, yet we know it when we see […]