JC: Drinking From the Firehose – Keeping Up with the Literature

DRINKING from the FIREHOSE

You've probably heard the claim that the body of scientific knowledge is growing at an alarming rate - doubling every 9 years is a recent estimate. It's easy to hear your colleagues chatting about recent publications as if they're the new Taylor … [Continue reading]

JC: ED RSI – you can do it. St.Emlyn’s

Stemlyns RSI ED

If you follow my twitter feed, or the feed of the @stemlyns team then you will know that we are advocates of ED RSI. Our patients often present unexpectedly, in extremis and with airway compromise. Resuscitation begins with A for airway so if you … [Continue reading]

Save Yourself Earache – Antibiotics and Otitis Media in the ED

Save yourselfearache

When I was a medical student a friend of mine completed a special study module in ENT which involved a case-based, evidence-based essay on a clinical topic of his choice. He chose acute otitis media. "How exciting!" you might (not) think. Fast … [Continue reading]

JC: Getting the Balance Right: The PROPPR Trial

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  Last week saw the publication of the results of the Pragmatic Randomised Optimal Platelet and Plasma Ratios (PROPPR) Trial by Holcomb et al. (et al. includes almost all of the big names in massive transfusion in trauma!). It would be … [Continue reading]

Karim Brohi on Vascular Injury at the London Trauma Conference

Vascular injury

No conversation about the evolution of trauma care in the UK is complete without a mention of Karim Brohi, Vascular and Trauma Surgeon, Professor of Trauma Sciences, friend of St Emlyn's and all-round nice chap. His site trauma.org was sharing FOAM … [Continue reading]

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]