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

Guess or Gestalt in Major Trauma at St.Emlyn’s

Massive haemorrhage

I was recently fortunate enough to speak at the the Emergency Medicine Educators Conference in Coventry on a subject that continues to interest me, that of gestalt, judgement and clinical decision making. As I get older I increasingly realise that simply acquiring more knowledge and skills is not enough. What’s really important is how we […]

New kids on the block. 2015 APLS trauma updates.

APLS updates 2015

The Advanced Paediatric Life Support (APLS) is, in my opinion at least, a great course. Covering paediatric life support, serious illness and injury it’s got a good reputation and is led by a team of clinicians who have always tried to the best for children. The course has the ‘right stuff’ for paeds resuscitationists… or […]

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 […]