How accurate is clinical judgement for acute coronary syndromes?

Maybe emergency physicians are as good as House after all

This blog post is based on the paper published in the EMJ this week – Body R et al. Can emergency physicians rule in or rule out acute coronary syndromes using clinical judgement? EMJ 2014 [Online first]. Anyone who’s worked in Emergency Medicine for any length of time will appreciate that an acute coronary syndrome […]

JC: Paediatric massive transfusion. St.Emlyn’s

Screen Shot 2014-07-12 at 10.35.39

I am lucky enough to work in both paediatric and adult trauma centres in Virchester. I think this is a good mix as really nasty paediatric trauma is rare but adult trauma is not. This means that we can transfer our expertise gained from frequent exposure to severely injured adults to the much rarer severely […]

TTL podcast 1. Getting to CT in 30 minutes.

Trauma Team Leadership

This week we have released a podcast on trauma team leadership that focuses on the management of trauma patients in the ED, and in particular a focus on getting patients from the door to CT within 30 mins. You probably know that in the UK we love (Ed – no we don’t) time based targets. […]

Are you feeling satisfied? The GMC survey and EM.

Untitled design(5)

If you are a trainer or a trainee in the UK you will no doubt be familiar with the annual GMC survey. This national snapshot of training gives useful information on the state of training in all specialities across trusts in the UK. The GMC uses this data in many different ways, and it’s really […]

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

Screen Shot 2014-07-01 at 22.42.22

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 […]

St.Emlyn’s the podcast

Screen Shot 2014-06-29 at 21.46.57

If you’ve not found it yet then don’t forget to follow the St.Emlyn’s podcast. You can find us on iTunes here (please say something nice) and there are quite a few episodes already up on the site. To date we are tackling diagnostics, but there is much more to come on clinical and managerial topics. […]

JC: A decade of reversal: an analysis of 146 contradicted medical practices.

Untitled design(5) copy

This week the blog, the podcast, SMACC and twitter have been ‘off on one‘ about belief, evidence, adoption, change and practice. It has been great to tackle one of the trickiest decisions we have to make as clinicians with some fantastic people chipping in from across the world. What do we truly believe in? If […]

Louise Cullen on why most published research is wrong. St.Emlyn’s

Louise-Cullen-Photo

I have to agree with all the sentiments about SMACC being the best conference in the world for a blend of science and practicality for critical care medicine. I also find that SMACC conference talks delve into topics that many others do not venture. Some of them as unsexy, but important, as those around principles […]

What to believe and when to change. St.Emlyn’s at SMACC

Screenshot 2014-06-23 06.51.21

My second talk at SMACC Gold. This followed on from the earlier talk on do risk factors factor  in the ED. In this talk I try and link evidence to population and individual practice. I personally ‘ believe’ that the single biggest influence on clinical practice is how we think, how we value evidence and […]

JC: Does wave form analysis improve outcome in VF arrest? St.Emlyn’s

wave analysis

For those of us schooled through the Advanved Life Support courses I think we may be forgiven for thinking of Ventricular Fibrillation as a single condition. The treatment of VF follows a set algorithm that certainly implies that we are dealing with a single condition, one which I was taught to be random and unorganised. […]

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

Untitled design

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 […]