All posts by alig

Alan Grayson MB ChB, FRCEM is a consultant Emergency Physician in Manchester. He is an honorary senior lecturer at the University of Manchester and associate academic lead for the year 5 MBChB programme. He is Honorary Senior Clinical Lecturer, Centre for Effective Emergency Care, Manchester Metropolitan University

Party hard in the UK: Ecstacy and more in #Virchester. St Emlyn’s

The onset of late spring in the UK marks the start of festival season. Dancing in fields for enjoyment likely goes back to prehistory and pagan fertility (of crops, animals, and humans) rituals. Whilst Morris

JC: Kicking against the prick: Systematic Review of stroke thrombolysis

I think it’s probably fair to say that stroke physicians and emergency physicians disagree about the utility of thrombolysis in acute ischaemic stroke. They love it, probably because of its occasionally amazing effects in restoring

Futureproofing EM: Why your trainees deserve it (and your nation needs it). St.Emlyn’s

  I suspect all Deaneries (locality branches of Health Education England as they are now known) have their traditions and meetings. In the former NW post-graduate deanery we have ours. One of these is Calman

A St.Emlyn’s fascia iliaca block update.

how to do a fascia iliaca block in the emergency department #FOAMed St.Emlyn’s

Acute Heart Failure guidance. Nice, NICE or Not? St.Emlyn’s

It’s fair to say we quite like a guideline here at StE’s. We have, probably like your ED, evidence-based clinical decision support guidelines for common (think cardiac chest pain and ?PE) and not so common

Something for the weekend, Sir?

Super Furry Animals: really quite good music! In Virchester, it’s not uncommon for our Friday and Saturday night punters to arrive worse the wear for drink and/or drugs. Most EPs of any experience will be

What I do on my holidays, by Alan Grayson, aged 37 and a half. St.Emlyn’s

  The most amazing place in the world! Thanks to @TropicalEDdoc, @Lanafeld and @abc730 for the prompt for this.       [blackbirdpie url=”https://twitter.com/Lanafeld/status/304163541714354176″]   Drugs and music have always been a fairly potent combination.

arterial venous blood gas

V & A in the ED – blood gases – St.Emlyn’s

“Why are you doing an Arterial Blood Gas on that patient?”   I thought it was a decent enough question to put to one of our senior EM trainees in the resus room at StE’s.

mushroom poisoning

Where’s the fun in fungi? – St.Emlyn’s

  It’s a bit of a standing joke here at St Emlyn’s that I resolutely live in the Yorkshire countryside, aiming for a self-sufficient existence, yet practice what is very much urban EM. As it

RITA is dead

RITA is dead….it’s all about the ARCP now…, and it’s much trickier, so trainees beware….!

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