Head injury

How to manage your boss (the expert patient in the ED). St.Emlyn’s

This is another guest blog from our friend and colleague Andy Volans, Consutlant in Emergency Medicine.   We’ve all been subjected to the challenge of the “Expert Patient”. Our GP colleagues probably get it more as they sit with internet…
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101 Reflective Lessons from a Year with Sydney HEMS. Part Four: More Clinical

This post, detailing my reflections on clinical retrieval medicine, is the fourth in a series recording my reflections on the twelve months I spent working for Sydney HEMS1 in prehospital and retrieval medicine. The first post covers medical education – you can…
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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: Salt or Sugar? Hypertonic saline for head injury at St.Emlyn’s.

‘Why did you give Mannitol?’ asked the Registrar. ‘Hypertonic saline was the standard of care for head injury at St.Elsewhere and I was told it reduced mortality’. OK, so that’s a paraphrased recollection from some time ago. Our patient had…
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Impact Brain Apnoea with Gareth Davies from London HEMS. St.Emlyn’s

I was recently discussing the management of traumatic cardiac arrest with one of my junior colleagues and was surprised to hear that they had not heard of impact brain apnoea as a cause of respiratory and subsequently cardiac arrest. Then…
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