#FOAMed

How low can you go? Experiential learning at St.Emlyn’s

Some time ago I was teaching our foundation (most junior) doctors about sepsis with a focus on the interpretation of blood gases. The teaching session ran along the usual lines of normal ranges, basic physiology and a few cases for…
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JC: Getting Chilly Quickly 3. Hypothermia at St.Emlyn’s

In a rather strange co-incidence two articles landed on my desk this soggy Sunday morning. Firstly we have an RCT of intra-arrest therapeutic hypothermia published in Intensive Care Medicine. Secondly we have the ‘cool car‘. Now I like science and…
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Hide And Seek: Button Batteries in the Emergency Department

We see lots of kids presenting to the ED with “things” where they shouldn’t be (we see adults too, sometimes – but that’s a whole set of different stories).  Foreign bodies show up in all sorts of forms in all…
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JC: Should USS be first investigation for renal colic? St.Emlyn’s

A few years ago I was asked to see a patient in the rapid assessment unit with severe pain in the flank. She looked as though she had renal colic and we instituted the usual management, most notably analgesia with…
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JC – Just Checking: Do Follow-Up Phone Calls Reduce Reattendance to PED?

Lots of patients we see in the ED do not require hospital admission and this is especially true of the paediatric ED where children often attend with parents seeking advice for management of viral illnesses or treatment for minor injuries. Communication and…
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