Cardiac Troponin: The basics from St. Emlyn’s

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Do you remember when it took three days to 'rule in' or 'rule out' an acute myocardial infarction (AMI)?  When I was a medical student doing my first clinical attachments, I remember doing ward rounds on the CCU seeing patients with suspected AMI.  … [Continue reading]

Talking, Teaching & Technology – Victoria Brazil @SocraticEM at St Emlyn’s

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You probably know by now that SMACC Gold was awesome. There simply aren't enough superlatives to describe the magnitude of inspiration on offer from the world's finest critical care speakers.  Putting together a programme like SMACC's was an … [Continue reading]

JC: POCUS for the breathless patient. St.Emlyn’s

HOCUS

This might be the paper (or perhaps the first of many papers) that I've been waiting for. Like many colleagues in the #FOAMed world I'm a big fan of point of care ultrasound (POCUS) in the ED and I increasingly find it incredibly helpful in patients … [Continue reading]

The Archers of the Emergency Department. St.Emlyn’s

Archery in the ED-1

It is a little known fact that to be successful as an emergency physician in the UK it is vital to take a three month rotation in Archery. Archery is a key skill for us all dating back to Medieval times when we introduced the longbow into warfare. … [Continue reading]

How accurate is clinical judgement for acute coronary syndromes?

Maybe emergency physicians are as good as House after all

This blog post is based on the paper published in the EMJ this week - Body R et al. Can emergency physicians rule in or rule out acute coronary syndromes using clinical judgement? EMJ 2014 [Online first]. Anyone who's worked in Emergency … [Continue reading]

JC: Paediatric massive transfusion. St.Emlyn’s

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I am lucky enough to work in both paediatric and adult trauma centres in Virchester. I think this is a good mix as really nasty paediatric trauma is rare but adult trauma is not. This means that we can transfer our expertise gained from frequent … [Continue reading]

Are you feeling satisfied? The GMC survey and EM.

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If you are a trainer or a trainee in the UK you will no doubt be familiar with the annual GMC survey. This national snapshot of training gives useful information on the state of training in all specialities across trusts in the UK. The GMC uses this … [Continue reading]

Paeds Tips You Won’t Find In Books – @_NMay at SMACC Gold

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Talking at SMACC Gold seemed like such a good idea in advance - and it was a wonderful (if faintly terrifying!) experience. When I came up with this title (yes - I was in the privileged position of picking the title of my own talk), I had … [Continue reading]