Cardiac Troponin: The basics from St. Emlyn’s

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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 […]

JC: POCUS for the breathless patient. St.Emlyn’s

HOCUS

This might be the paper (or perhaps the first of many papers) that I’ve been waiting for. Like many colleagues in the #FOAMed world I’m a big fan of point of care ultrasound (POCUS) in the ED and I increasingly find it incredibly helpful in patients with respiratory associated symptoms. Over the years I have […]

The Archers of the Emergency Department. St.Emlyn’s

Archery in the ED-1

It is a little known fact that to be successful as an emergency physician in the UK it is vital to take a three month rotation in Archery. Archery is a key skill for us all dating back to Medieval times when we introduced the longbow into warfare. This devastating tool could cause panic in […]

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

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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.

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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 […]

St.Emlyn’s the podcast

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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.

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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 […]