Free Open Access RESUSCITATION – the GoodSamApp with Mark Wilson

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    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 surgical fixation of rib fractures ready for a comeback? St.Emlyn’s

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If you’re an emergency physician practicing in the UK you may  be a bit surprised to hear about a trial published this week looking at the use of open reduction and internal fixation of rib fractures, and more specifically flail chests.  Surgical management of rib fractures is something that took place 40-60 years ago, but […]

SMACC 2013: Mike Cadogan on Social Media. St.Emlyn’s

You almost certainly know Mike @sandnsurf , and if you don’t you should. He is a founder of Life in the Fast Lane and the genius behind getting St.Emlyn’s up and running. This talk from SMACC 2013 is a fantastic review of where we are and is required listening for anyone interested in learning through […]

JC: If the Video Laryngoscope was stroke thrombolysis……. St.Emlyn’s

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It has been truly fascinating to look at the responses to the paper on use of the glidescope for trauma patients. The post looks at the paper from R Adams Cowley shock trauma centre that shows little benefit and potential harm from the use of the glidescope. My summary conclusion would be.. For trauma patients […]

JC: Do paediatric CT scans cause cancer? St.Emlyn’s

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If I think back to my practice a few years ago (as I’m getting older) there is no doubt that the number of CT scans I’ve performed from the ED has increased. In both my adult and paediatric practice the indications for CT have increased, the ease of obtaining a scan has decreased and as […]

JC: Point of care USS for Hypotension in the ED. St.Emlyn’s

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[blackbirdpie url="https://twitter.com/PBSherren/status/323826308276699138"] Many thanks to Peter Sherren for spotting this paper published in Intensive Care medicine this month. Point of care ultrasound is one of my interests and only this week I met a patient whose life was certainly saved by it in the ED a few years ago (cracking diagnosis in the resus room […]

GMC Guidance on social media use by doctors. St.Emlyn’s

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Firstly apologies for the slow updates of late. I am ‘away from the desk’ so to speak, having a lovely time and all, but there are certain restrictions on internet access! Anyway……..the GMC guidance has arrived. Most if not all doctors should have received an email from the GMC today regarding an update to General […]

Diagnostic panacea? USS that paeds abscess?? St.Emlyn’s

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Most emergency physicians love gadgets.  And ultrasound machines are great gadgets. If you’re keeping up with the Emergency Medicine literature, you’d be forgiven for believing that ultrasound is the way to diagnose just about anything in an ED. Even your own fractured nose. So, when we set out to appraise a recent paper from the […]

‘Appy days’ – Medical apps at St.Emlyn’s

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Smart phones and their associated stand-alone software applications, or apps, have become ubiquitous within the field of Medicine and perhaps, nowhere more so than the forward-thinking, technology embracing, occasionally geeky world of Emergency Medicine.  A survey in 2010 showed that 99% of medical staff had a mobile phone, and 81% of them used a ‘smart’ […]