Emergency Medicine

The Argument for Systemic Thrombolytics in Submassive Pulmonary Embolism. Swami at St.Emlyn’s

On June 15th 2016, I delivered an 8 minute talk arguing that we strongly consider the administration of systemic thrombolytics in patients with submassive pulmonary embolism at SMACCDub. This talk became infamous not for the content but for the masterful…
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The Emergency Department Transfer: Patient, Preparation and People. St.Emlyn’s

Depending on your department the frequency with which you are faced with the need to transfer a critically ill intubated patient may vary but it is something we think all departments face at some point. Common examples might be: The…
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JC: Cardiac arrest centres and bypass. St.Emlyn’s

The concept of cardiac arrest centres is not entirely new and is something we’ve been talking about in Virchester for some time. Indeed, there are several articles in the literature and a fairly reasonable patho-physiological argument for them1–3. We know…
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101 Reflective Lessons from a Year with Sydney HEMS. Part Two: Human Factors.

This post is the second in a series recording my reflections on the past twelve months, which I have spent working for Sydney HEMS in prehospital and retrieval medicine. The first post covers medical education – you can find it…
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Critically Ill in PED – the Patient Perspective at #smaccMINI #smaccDUB

  One of my favourite sections of the #smaccMINI workshop at #smaccDUB last year was when my Paediatric ED colleague Roisin McNamara from Dublin and I got the chance to speak a young woman called Eimear. Roisin had already spoken about her…
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Here’s the top 10 (and more) research priorities in EM. James Lind & St.Emlyn’s

We’ve blogged before about the James Lind Alliance1,2 project that’s been running with the Royal College of Emergency Medicine. In brief this is an exercise that engages the profession, researchers and patients to come to a consensus on which topics…
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