Prehospital Care

JC: Does Epinephrine work in Cardiac Arrest. St Emlyn’s

Epinephrine use in cardiac arrest is controversial1,2. Despite patho-physiological arguments3,4 that it can improve brain perfusion and even that it may improve the rate of ROSC (Return of Spontaneous Circulation) many have expressed the concern that this does not then…
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#badEMfest18 Day 4. Farewell and thank you from St Emlyn’s

or And, in the blink of an eye, it was the final day of #badEMfest18. This is the final post on #badEMFest18 and it’s been a long time coming. Maybe that’s because it’s been busy, but it’s also that we’ve…
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“To Protect and Serve…and Drop Off”. Penetrating Trauma in Philadelphia. St Emlyn’s

Penetrating trauma is a rising problem on both sides of the Atlantic – just tune into any of the major news channels to see the effect.  Its increasing burden on US prehospital deaths from 2007 to 2014 was recently highlighted…
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#badEMfest18 Day 3. St Emlyn’s

After a very relaxing Friday evening with live music, fireside chats and a wine tasting (from the wine farm of Lee Wallis, no less!), Saturday kicked off with workshops bright and early. Morning Workshops Critical Care and retrieval medicine Chatting…
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St.Emlyn’s goes further north – NEM Conference #NEMC18

It’s the second time I’ve been to the Northern Emergency Medicine conference, this year held in the sunny city of Durham. I say sunny… I needed my jacket. Last year’s programme was great and included some fantastic speakers, including our…
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104 Reflections from Sydney HEMS – the eBook. St.Emlyn’s

Firstly, the title of this post is not a typo. When I collated the reflective lessons from my series of Sydney HEMS blog posts I realised there were actually 104, not 101. Apologies for the misleading advertising, but there was…
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How to declare a Major Incident. St.Emlyn’s

Recent attacks in Manchester, London and around the world have heightened our awareness of the possibility of a major incident being declared at any time of day or night. As emergency physicians (and all specialities really) we need to think…
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101 Reflective Lessons from a Year with Sydney HEMS. Part Six: Self Care

This post, detailing my reflections on self care in clinical retrieval medicine, is the sixth in a series recording my reflections on the twelve months I spent working for Sydney HEMS in prehospital and retrieval medicine. The first post covers…
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101 Reflective Lessons from a Year with Sydney HEMS. Part Five: Leadership

      This post, detailing my reflections on clinical retrieval medicine, is the fifth in a series recording my reflections on the twelve months I spent working for Sydney HEMS in prehospital and retrieval medicine. The first post covers…
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