Tag Archive: #FOAMed

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Are you PROcalcitonin? St.Emlyn’s goes bug-hunting.

At work the other day, someone mentioned that we could use procalcitonin to distinguish between viral and bacterial infections, particularly in the paediatric population. It was touted as the answer to that age-old question, “should I prescribe antibiotics for this…
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JC: The Quick-Wee Method for Faster Clean Catch Urine Collection

The wilful nature of children is responsible for a lot of the facial expressions we see in the paediatric emergency department but few parents are as frustrated as those waiting… and waiting… and waiting for the short-lived, poorly-timed, inevitable fountain…
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When is a Door Not a Door? Bias, Heuristics & Metacognition

This is an amended version of a talk on metacognition I gave at the Royal North Shore Hospital Grand Round. The clinical scenario has changed but the content remains the same. The purpose of this talk was to help our…
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The Emergency Department Transfer: Patient, Preparation and People. St.Emlyn’s

Depending on your department the frequency with which you are faced with the need to transfer a critically ill intubated patient may vary but it is something we think all departments face at some point. Common examples might be: The…
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JC: Cardiac arrest centres and bypass. St.Emlyn’s

The concept of cardiac arrest centres is not entirely new and is something we’ve been talking about in Virchester for some time. Indeed, there are several articles in the literature and a fairly reasonable patho-physiological argument for them1–3. We know…
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Critically Ill in PED – the Patient Perspective at #smaccMINI #smaccDUB

  One of my favourite sections of the #smaccMINI workshop at #smaccDUB last year was when my Paediatric ED colleague Roisin McNamara from Dublin and I got the chance to speak a young woman called Eimear. Roisin had already spoken about her…
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