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 3

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The final day of the London Trauma Conference 2014 concentrated on pre-hospital emergency medicine and air ambulance operations. The day was hosted by the Norwegian Air Ambulance and had a mix of Scandinavian and international speakers. A wide range of subjects were covered, from education and training to sobering talks about how we deal with […]

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

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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 […]

Is severe chest pain more likely to be a heart attack?

CHEST PAIN

    Have you ever heard this sort of conversation in your ED? Junior ED doc: Can I run my patient by you, please? Senior ED doc: Sure Junior: I  have a 40 year old man with chest pain.  I don’t think it’s anything to worry about.  It only lasted 20 minutes and the patient says it was […]

When we are the Diagnostic Test – Gestalt at St Emlyns

Gestalt

There are many reasons why I enjoy being part of the St Emlyn’s team, not least the chance to share ideas and beliefs about EM with some of the most thoughtful physicians I’ve ever met. Simon’s recent post about Gestalt, has, like many of you, got me thinking. What is that “end of the bed-o-gram” […]

Trouble – Chest Pain in the ED

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Chest pain is the archetypal ED presentation: one which presents frequently and usually has a benign cause, but could, just could, be the result of life threatening pathology. As Emergency Physicians we must look after these patients well and make sound decisions about their investigations and treatment and in this podcast Simon and I endeavour […]

Simon, Rick and Natalie LIVE at Manchester Medical Society!

St. Emlyn's

By now I’m sure you know that Simon, Nat and Rick will be giving talks for the Manchester Medical Society Emergency Medicine section on Tuesday 25th November 2014 about #MedEd: The Future’s Bright.  The Future’s #Social.  This is a great opportunity for the #FOAMed community who live close enough to Manchester to get together, have […]

#MedEd: The Future’s Bright. The Future’s #Social

THE FUTURE'S

One of the most awesome developments at St. Emlyn’s over the last year or so has been the St. Emlyn’s events that we’ve started running.  The godfather of #FOAM himself, Joe Lex, was our first ever Visiting Professor last year, and he gave an amazing talk to inspire us all. He followed that up with a return visit […]

The Challenge and Value of Research in Emergency Medicine: at DGINA 2014

DGINA

On 7th November this year I was hugely honoured to give two invited talks at the annual conference of the German national society for Emergency Medicine – DGINA 2014 in Nuremberg.  This conference was organised by an awesome team of emergency physicians from Germany led by Michael Christ, author at the amazing DGINA blog.   If […]

Show Me The Money: Coding at St.Emlyn’s

coding stemylns podcast

Have you ever wondered how it is that your hospital gets paid for the work you do? Perhaps you think that this isn’t relevant to you? Well, in this podcast we discuss how hospitals in England are remunerated for the patients they see in there EDs and why we, as clinicians, should do everything we […]

New NICE high sensitivity troponin guidance: 3 hours and done?

NICE high sensitivity troponin

The National Institute for Health and Care Excellence (NICE) from the UK has just published new recommendations for the use of high sensitivity troponin to rule out NSTEMI in the Emergency Department.  You can find it at this link.  I was honoured to be part of the team looking at this, as a specialist advisor. […]