Q&A with a Virologist: Ebola in the ED at St.Emlyn’s

Ebola

This week Sarah Payne from the North East of England joins St.Emlyn’s. Sarah is no stranger to blogging and is a keen #FOAMed advocate as her bio below clearly shows. Specialty trainee in Emergency Medicine in the Northern region, currently out of program as a Simulation Teaching Fellow across the Newcastle Hospitals trust and Associate […]

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 […]

Something for the weekend, Sir?

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Super Furry Animals: really quite good music! In Virchester, it’s not uncommon for our Friday and Saturday night punters to arrive worse the wear for drink and/or drugs. Most EPs of any experience will be able to tell you stories of the opiate misuser who’s hit we have “effin’ ruined” in the course of saving […]

What I do on my holidays, by Alan Grayson, aged 37 and a half. St.Emlyn’s

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  The most amazing place in the world! Thanks to @TropicalEDdoc, @Lanafeld and @abc730 for the prompt for this.       [blackbirdpie url=”https://twitter.com/Lanafeld/status/304163541714354176″]   Drugs and music have always been a fairly potent combination. Unfortunate deaths, such as the above are thankfully rare, but do happen. Malignant hyperthermia and Serotonin syndrome are hard enough […]

Developing EM – ethical Emergency Medicine in Cuba. St.Emlyn’s

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Lee Fineberg and Mark Newcombe are Emergency Physicians and Helicopter-Retrieval specialists from Australia, but more than that they seem to be a couple of top chaps who have devoted a great deal of time and energy into sharing emergency medicine around the world. Last year they organised the first Developing EM conference in Sydney aimed […]

More than a Spot Check?

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More than a Spot Check – What does the NICE Quality Standard for bacterial meningitis and meningococcal septicemia in children and young people mean for the Emergency Dept? Who’s that now? If you work in the UK, I’m sure you’ve heard of NICE – the National Institute for Clinical Excellence. In their own words; “We […]

Glasgow Blatchford Score 2 – The case for an RCT!

Thanks for a great post, Gareth.  If you’ve landed here without reading that post, hit the link – this is a follow on, a ‘deep dive’ in the words of Smart EM – to be taken in the context of Gareth’s main post. This is a landmark study in Emergency Medicine and gives us something useful […]

Rabies management in the ED.

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Interesting article in the Journal of the Royal Army Medical Corps on the management of Rabies. Now, we don’t get a lot of Rabies in Virchester, but the weather is so terrible here lots of our patients come back having been bitten by dogs in foreign climes.There was even a death recently in the UK […]

ON POST-EXPOSURE PROPHYLAXIS: a diet PEPSE served on ice

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You are on a busy shift in ED when a young man in his twenties presents after having being triaged with a “personal problem” he would not disclose in triage. He has asked to see a senior doctor urgently. When alone, he discloses unprotected oral intercourse two days ago in a local sauna for gay […]