Free Open Access MEDICINE – the GoodSamApp with Mark Wilson

Screen Shot 2014-08-27 at 08.53.07

    Mark Wilson. One of the things I love about medicine is the cross-fertilisation of ideas and techniques from one discipline to another. I worry that as more subspecialisation occurs, cross-fertilisation will be lost. Emergency medicine and critical care, spanning so many areas, are unique in that they may be the last places of […]

JC: Is there any point teaching paramedics? St.Emlyn’s

bls or als

OK, so it’s a provocative title, but it reflects my thoughts when I first saw this paper on teaching paramedics and in particular when I saw the conclusion. ‘….the evidence indicates that there is no benefit of advanced life support training for ambulance crews on patient outcomes’ Really? That reminded me of this…… OK, the […]

The Troponin Ashes at SMACC Gold: Cullen v Body

BODY

Unless you’re very new round these #FOAMed parts, by now you’ll definitely have checked out some of the greatest talks in the history of mankind from the SMACC Gold podcast over at the awesome Intensive Care Network. You’ll also, I’m sure, have checked out the stories behind the talks from our own awesome team. Simon, […]

JC: When a subdural needs surgery in the elderly. St. Emlyn’s

When asubdural haemorrhageneeds surgery (1)

The diagnosis and management of major trauma in the elderly is a really hot topic in Emergency Medicine right now.  Compared to younger patients, the elderly can sustain much more serious injuries even with apparently trivial mechanisms.  What’s more, they present very differently – and it’s easy to underestimate severity in this group at the time […]

An introduction to sample size calculations. St.Emlyn’s

Screenshot 2014-08-14 08.33.14

This blog post is based on a paper I put together with Steve Jones and Magnus Harrison way back in 2003. In that paper we covered an area of critical appraisal that strikes fear into many a reader.., the issues of sample size and power calculations. What we hoped to do back then (and now) […]

High sensitivity troponin at St. Emlyn’s

Screenshot 2014-08-08 06.52.27

  Recently we published part one of our series on cardiac troponins.  If you haven’t checked it out yet, you can find it here.    In the second part, we’re going to take a look at high sensitivity troponins and some of the more advanced areas around understanding cardiac troponin and its use in practice. […]

Not Just History Repeating. St.Emlyn’s

Starting-3

Our journey through life is peppered with “firsts”. From unrecollectable first words, to the first day at school, to our first kiss and beyond; these unique experiences stay with us and influence us forever. Even with advancing years there are still many firsts to experience, both personally and professionally and I recently had one in […]

Cardiac Troponin: The basics from St. Emlyn’s

T E N N I S (3)

Do you remember when it took three days to ‘rule in’ or ‘rule out’ an acute myocardial infarction (AMI)?  When I was a medical student doing my first clinical attachments, I remember doing ward rounds on the CCU seeing patients with suspected AMI.  The way they were managed is a million miles from what we do […]

Talking, Teaching & Technology – Victoria Brazil @SocraticEM at St Emlyn’s

Vic

You probably know by now that SMACC Gold was awesome. There simply aren’t enough superlatives to describe the magnitude of inspiration on offer from the world’s finest critical care speakers.  Putting together a programme like SMACC’s was an incredible feat – where would you even start?   The answer to that question comes naturally – […]

Let’s Get This Party Started. Starting at St.Emlyn’s

STEVH

It’s that time of year in the UK again, when the last strawberry at Wimbledon has been consumed, village fetes offer cream teas to a brass band accompaniment and children discard school uniforms for six weeks of holiday bliss. But for those of us who work in healthcare it’s even more exciting. A new team […]