The MACS rule: a new user-friendly version

MACS rule user friendly Canva

This blog post is based on a paper we've just had published in the Emergency Medicine Journal entitled: 'The Manchester Acute Coronary Syndromes (MACS) decision rule: validation with a new automated assay for heart-type fatty acid binding protein'.  … [Continue reading]

PODCAST update with Mark Wilson on the GoodSAM app at the London Trauma Conference

Mark Wilson GoodSAM stemlyns

    Earlier this year we published a blog on the GoodSAM app, a device developed by Mark Wilson and colleagues in London that has a real potential to save lives. Since then we have heard him speak at a number of conferences including … [Continue reading]

Get the NOAC Knowhow: Novel Oral Anticoagulants Part 1

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Where would we be without warfarin?  The good old rat poison has served us brilliantly for decades, allowing us to anticoagulate patients to treat and prevent venous thromboembolism, prevent stroke in AF, and so much more.  As a House Officer, intern … [Continue reading]

JC: What’s the ‘best’ test for a broken chest? St.Emlyn’s

CHEST TRAUMA_ WHO IS AT RISK_

A 45 year old man comes off his motorbike on a country road. He is flagged up as major trauma and gets the full works, including WBCT. This reveals nothing other than 3 undisplaced rib fractures on the right with no underlying haemo or pneumothorax. … [Continue reading]

SIMWARS: Med-U-Tainment at SMACCGold with St.Emlyn’s

CHAMPIONS Stemlyns

In 2014, as in 2013, the SMACC conference arguably ended where it all began, in the roots of resuscitation, with clinical teams coming together to resuscitate and compete against the challenges of knowledge, skill, attitude and relationships. We … [Continue reading]

Impact Brain Apnoea with Gareth Davies from London HEMS. St.Emlyn’s

impact brain apnoea

I was recently discussing the management of traumatic cardiac arrest with one of my junior colleagues and was surprised to hear that they had not heard of impact brain apnoea as a cause of respiratory and subsequently cardiac arrest. Then I reflected … [Continue reading]

JC: Progesterone’s pleiotropic failure in head injury. St.Emlyn’s

More Testosterone

Pleiotropic might just be my favourite new word, thus overtaking November's great word 'Glyptotek' (Danish for Sculpture museum). I digress. Pleiotropic is a word used to describe the ability of a gene to affect multiple phenotypic traits. Great, … [Continue reading]

JC: STI’s at Christmas. St.Emlyn’s

Image by OpenClips on Pixabay

  We frequently get asked to do 'a little bit more' in the ED. Over the years we have been asked to screen for lots of conditions that may be opportunistically screened for, or which may be associated with the presenting condition. … [Continue reading]

Studying for FCM (Fellow of Corridor Medicine) at St.Emlyn’s

St.Emlyn's waiting room

(Ed - there are two parts to this post. The slightly tongue in cheek beginning and a more serious endpiece that addresses the very real and very dangerous issues of ED overcrowding. If you're interested in the useful stuff then skip to the … [Continue reading]