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 […]

Save Yourself Earache – Antibiotics and Otitis Media in the ED

Save yourselfearache

When I was a medical student a friend of mine completed a special study module in ENT which involved a case-based, evidence-based essay on a clinical topic of his choice. He chose acute otitis media. “How exciting!” you might (not) think. Fast forward to today and in PED I continue to be amazed by the […]

The MACS rule: a new user-friendly version

MACS rule user friendly Canva

This blog post is based on a paper we’ve just had published in the Emergency Medicine Journal entitled: ‘The Manchester Acute Coronary Syndromes (MACS) decision rule: validation with a new automated assay for heart-type fatty acid binding protein’.  You can find the full text at this link. In May last year we (Simon and I, […]

You are not a SHOEMAKER. St.Emlyn’s

-Jacques-Albert Senave-Apelles the

  Simon recently claimed his new favourite word is pleiotropic, and whilst I don’t want to get into a vocab competition, I offer my own new favourite word: ultracrepidarianism. This is something I am eternally fearful of, but in all likelihood am probably guilty of daily; giving opinions and advice on matters outside of my […]

Get the NOAC Knowhow: Novel Oral Anticoagulants Part 1

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Where would we be without warfarin?  The good old rat poison has served us brilliantly for decades, allowing us to anticoagulate patients to treat and prevent venous thromboembolism, prevent stroke in AF, and so much more.  As a House Officer, intern or Foundation doc, every doctor must surely have spent hours prescribing warfarin doses and […]

Problems in Early Pregnancy – Induction

Problems in early pregnancy

The number of patients seen in each ED with problems relating to early pregnancy in the UK is very variable – some hospitals have rapid referral pathways for patients who know they are pregnant. It’s still worth thinking about early pregnancy problems though as all EDs see young women and many of these may not […]

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” […]