When Sick Means Sick: Emesemantics and Vomiting in Kids

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When I was preparing for my talk at smaccGOLD I contacted the wonderful Ross Fisher, a Paediatric Surgeon, to ask him for some tips; what did he wish all ED docs and GPs knew about paediatric surgical patients? He was kind enough to provide me with a list of hints, tips and pearls of wisdom […]

JC: Paediatric Major Trauma Triage

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There aren’t a lot of things in Emergency Medicine that are more important than managing paediatric major trauma.  St. Emlyn’s in Virchester is a Paediatric Major Trauma Centre, and it’s virtual catchment area is pretty massive.  That means we’re pretty used to the adrenaline surge that you get at 4am when the pager goes off […]

Who’s That Girl? Impostor Syndrome at #SMACCGold

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I want to let you into a secret. I’m an impostor.   OK, that’s not quite true. I’m a 34-year-old (shock!) Emergency Medicine trainee with a penchant for karaoke and a passion for education, but I’m really not anybody special. I play the piano (badly) and can struggle through a basic conversation in French or […]

JC. ROTEM for ED coagulopathy detection. St.Emlyn’s

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Coagulopathy is well known to be a significant issue in the ED. There is increasing awareness that the early awareness, detection and management of coagulation problems is important for ED management, but it’s tricky. Laboratory based tests may not tell us what we need to know about the effectiveness of blood clotting and as anyone […]