Clinical articles, journal clubs and discussion from St Emlyn’s. This archive spans many years; check each article’s date and references alongside current local guidance.
The face has a rich blood supply, and severe midface injuries can bleed a lot. That bleeding can threaten both the airway and the circulation, and controlling it can be
TTL tips 21: Catastrophic Bleeding from the midface Read More
Vascular access during cardiac arrest is one of those things that we probably don’t think about that much. There is usually quite a lot going on, somebody gets access, the
JC: IV or IO first in cardiac arrest? St Emlyn’s Read More
Which patients with chest pain actually need a troponin? Rick Body looks at how much we can trust the history, cardiovascular risk factors and our own clinical judgement before deciding to test.
Ep 299 – Which patients with chest pain need a troponin test? Read More
The Resuscitator sessions. Back in February I attended ‘The Big Sick’ conference in Zermatt. I’ve been several times and talked about it a lot here and on the podcast. It
Before ECPR: Optimising Shockable Cardiac Arrest at The Big Sick. Read More
Significant pelvic fractures can cause life-threatening haemorrhage. Recognise that risk early, but don’t assume the pelvis is the only source of bleeding. Management often requires input from emergency medicine, orthopaedics,
TTL tips 20: Significant Pelvic Fracture management Read More
Many years ago, when I was working as a registrar in Emergency Medicine and starting my PhD, my supervisor (a social scientist) got me to think about the assumptions I
We see a lot of patients with mechanisms of injury and/or clinical signs that suggest a spinal column injury. Should you image the whole spine or just the areas that
TTL tips 19: Find one spinal injury – look for another. Read More
Syncope is one of those presentations that can be both straightforward and remarkably difficult. In many patients the history gives us a pretty convincing diagnosis of vasovagal or orthostatic syncope,
ASPIRED: Ambulatory ECG Monitoring After Unexplained Syncope Read More
