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]

JC: A decade of reversal: an analysis of 146 contradicted medical practices.

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This week the blog, the podcast, SMACC and twitter have been 'off on one' about belief, evidence, adoption, change and practice. It has been great to tackle one of the trickiest decisions we have to make as clinicians with some fantastic people … [Continue reading]

Louise Cullen on why most published research is wrong. St.Emlyn’s

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I have to agree with all the sentiments about SMACC being the best conference in the world for a blend of science and practicality for critical care medicine. I also find that SMACC conference talks delve into topics that many others do not venture. … [Continue reading]

JC: Does wave form analysis improve outcome in VF arrest? St.Emlyn’s

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For those of us schooled through the Advanved Life Support courses I think we may be forgiven for thinking of Ventricular Fibrillation as a single condition. The treatment of VF follows a set algorithm that certainly implies that we are dealing with … [Continue reading]