Latest Posts

You Snooze, You Lose? #smaccUS The Child with Altered Consciousness

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As a part of the #smaccMINI workshop back in Chicago in 2015, I spoke about the approach to the child with an altered conscious level. The podcast is below along with a brief summary of the talk. The guidance below…
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All the King’s Horses… difficult conversations with children in critical care. St.Emlyn’s.

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All the king’s horses and all the king’s men Couldn’t put Humpty together again1. This blog tackles a really challenging topic in our theme around communication and wellbeing2–4. How do we approach difficult conversations with children in critical care and…
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JC: Is this the REASON to use USS in cardiac arrest? St.Emlyn’s

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This month the emergency department point of care ultrasound in out-of-hospital and in-ED cardiac arrest trial from the REASON1 trial is published in the journal Resuscitation. This has been rumoured for some time in the #FOAMed world as patient outcome…
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Thinking the Unthinkable: Child Protection in the Emergency Department

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That people in a position of trust could intentionally injure, abuse or neglect children is almost unthinkable but it is a reality in the day-to-day practice of the Emergency Department1. Unfortunately, not only is it unpleasant to be confronted by…
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Upper Gastro Intestinal Bleeding at St.Emlyn’s.

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Earlier this week, Simon and Iain released a podcast on the management of acute upper gastrointestinal bleeding. Welcome to the blog post version, for all your textual needs. Around 60,000 people are admitted into hospital every year with an upper GI bleed….
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