The Challenge and Value of Research in Emergency Medicine: at DGINA 2014

DGINA

On 7th November this year I was hugely honoured to give two invited talks at the annual conference of the German national society for Emergency Medicine - DGINA 2014 in Nuremberg.  This conference was organised by an awesome team of emergency … [Continue reading]

What is Gestalt? St.Emlyn’s

gestalt stemlyns

If you're a #FOAMed fan then you will have come across the term Gestalt quite a lot in recent months. Many conversations about clinical decisions hinge around this elusive, slippery and somewhat obscure term. Perhaps it is in a rather circular manner … [Continue reading]

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

How low can you go?

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 discussion. All … [Continue reading]

JC: Getting Chilly Quickly 3. Hypothermia at St.Emlyn’s

cool cars

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 I … [Continue reading]

Show Me The Money: Coding at St.Emlyn’s

coding stemylns podcast

Have you ever wondered how it is that your hospital gets paid for the work you do? Perhaps you think that this isn’t relevant to you? Well, in this podcast we discuss how hospitals in England are remunerated for the patients they see in there EDs and … [Continue reading]

New NICE high sensitivity troponin guidance: 3 hours and done?

NICE high sensitivity troponin

The National Institute for Health and Care Excellence (NICE) from the UK has just published new recommendations for the use of high sensitivity troponin to rule out NSTEMI in the Emergency Department.  You can find it at this link.  I was honoured to … [Continue reading]

Hide And Seek: Button Batteries in the Emergency Department

Button Batteries

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 sorts of places, typically in the … [Continue reading]

Q&A with a Virologist: Ebola in the ED at St.Emlyn’s

Ebola

This week Sarah Payne from the North East of England joins St.Emlyn's. Sarah is no stranger to blogging and is a keen #FOAMed advocate as her bio below clearly shows. Specialty trainee in Emergency Medicine in the Northern region, currently out of … [Continue reading]

JC: Should USS be first investigation for renal colic? St.Emlyn’s

POCUS

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 IV NSAIDs and eventually opiates. At … [Continue reading]