Guess or Gestalt in Major Trauma at St.Emlyn’s

Massive haemorrhage

I was recently fortunate enough to speak at the the Emergency Medicine Educators Conference in Coventry on a subject that continues to interest me, that of gestalt, judgement and clinical decision making. As I get older I increasingly realise that simply acquiring more knowledge and skills is not enough. What’s really important is how we […]

The SWEETest Sim – Real People, High Fidelity at #SWEETs15

The sweetest

  In March 2015 I invited myself to the Swedish Emergency Medicine conference SWEETs in Stockholm. It was a huge privilege to learn about EM in Sweden and to work alongside some of my favourite people. I had an absolutely amazing and exhausting time – as well as presenting on presentation skills for the Teaching […]

Trauma: An Elite Sport? Tom Evens at the London Trauma Conference 2014

trauma

One of the things I love about conferences is listening to “fringe” talks – those which don’t necessarily cover a review of a clinical topic but encourage us to look at our overall practice in a different way. At the London Trauma Conference back in December 2014 I caught up with Dr Tom Evens – Tom is […]

New kids on the block. 2015 APLS trauma updates.

APLS updates 2015

The Advanced Paediatric Life Support (APLS) is, in my opinion at least, a great course. Covering paediatric life support, serious illness and injury it’s got a good reputation and is led by a team of clinicians who have always tried to the best for children. The course has the ‘right stuff’ for paeds resuscitationists… or […]

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

Add text

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 […]