All posts by drgdh

JC: Duel of the Rules: Which decision rule for head injury in children?

Ladies and Gentlemen! The assessment and investigation of paediatric head injury is a case study in clinical risk management. Similar to chest pain in grown up medicine, it’s a frequent presentation, with a rare but

JC: The Trouble With Tonsils. St.Emlyn’s

Or…. If we’re preaching to the choir, why are they still singing the wrong tune? If you are a up to date, #FOAMed positive practioner, I suspect you already have strong opinions on the matter

PCI for OOHCA with NSTEMI post ROSC? An acronym too far?

So you’ve done it. In a dazzling display of medical prowess worthy of a medical TV drama you have restored the dead to life! With scrupulous airway management, high quality chest compressions (assisted by some waveform

A Snake in the Grass at St.Emlyn’s

While not fortunate enough to actually attend SMACC 2013, I was pleased to catch the much anticipated SimWars event, particularly as Team GB was one of the successful finalists. As we kind of expected, they were

Review: The Essence of Emergency Medicine

It was  a long day. After getting home from a late shift the night before, I was up at 4 to catch my 0530 train, and toddled off down to London. What, you may ask could be

Getting Chilly Quickly 2…. Early hypothermia for ROSC?

By now, we all are thoroughly convinced as to the benefit of therapeutic hypothermia after cardiac arrest. (if you don’t do this in your hospital, you really should not be seeing OOHCA patients….).  In addition, the

ALS: Airway, Breathing, Capnography???

A Confession I have a guilty secret. I love cardiac arrests. Yep, I said it. As a brand new doctor, there was something exciting about dashing off to a 2222 call, even if my main

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Glasgow Scores… Not just for coma any more!

Quick post… NICE have recently published new guidance on Upper GI bleeding. It is surprisingly sensible. I was pleased with their position on PPI’s for upper GI bleeding (not before endoscopy…). The other point that I was happy to

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Bumps, Brains and Barf: Paediatric brain injury

The assessment and management of paediatric head injury in the emergency department. Clinical Guidlines. Use of CT in pediatric brain injury.

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JC: IST-3

So…. We have just covered the following paper in our journal club at Manchester Royal Infirmary. http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(12)60768-5/abstract The benefits and harms of intravenous thrombolysis with recombinant tissue plasminogen activator within 6 h of acute ischaemic


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