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Upper Gastro Intestinal Bleeding at St.Emlyn’s.

Earlier this week, Simon and Iain released a podcast on the management of acute upper gastrointestinal bleeding. Welcome to the blog post version, for all your textual needs. Around 60,000 people are admitted into hospital every year with an upper GI bleed….
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Apparent Life Threatening Events in Babies – Trouble BRUEing

Whenever I start to think about teaching on a paediatric subject, I feel like I should open with a reminder that being a parent is HARD. It’s REALLY HARD. Especially for first-time parents with newborn babies, lives for whom they are…
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The European Guideline on Management of Major Bleeding – are you in or out?

After my recent, hugely enjoyable, trip to Austria and attendance at the “notfallmedizin 2016” where, as well as doing a talk about FOAMed, I chaired a session on “Volume and Coagulation” I became aware that the view of our colleagues…
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When to withdraw resuscitation in the Emergency Department. St.Emlyn’s with Richard Taylor.

When can and should we withdraw from continuing resuscitation in the ED? The standby phone rings: Post cardiac arrest patient, approximately 50. Intubated, BP 80/40, GCS 3. ETA 5 minutes. You meet the crew in resus and get the story….
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Holy Smokes! Batman, the SOFA and the Latest Sepsis Definitions

We can be a confused bunch when it comes to sepsis.  We have seen definitions, debates and controversies as to how we treat and what we treat.  Today a new definition was unleashed on the world and you can read…
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Robocop gets the NICE 2016 major trauma treatment. St.Emlyn’s

Today, to much excitement, we saw the release of the NICE major trauma guidance.  Nat did an excellent review of the draft guidance, which you can read here.  We now have the full guideline which you can download from this…
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Speak Up! Have your say on the NICE guidance for Major Trauma

A draft of the NICE guidance on assessment and management of major trauma was released this morning for stakeholder consultation. If you work in a major trauma centre, in a trauma unit – or in any institution which might receive patients…
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Taking a sexual history in ED

Emergency physicians often feel that taking a sexual history in EDs is something medical school and specialty training have not prepared them very well for. This comes as no surprise as it differs significantly from ordinary medical history taking.  Personal,…
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