Category: Clinical Guidelines

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JC: Paediatric massive transfusion. St.Emlyn’s

I am lucky enough to work in both paediatric and adult trauma centres in Virchester. I think this is a good mix as really nasty paediatric trauma is rare but adult trauma is not. This

JC: Is Early Goal Directed Therapy dead? St.Emlyn’s

 Gosh, hardly a day goes by in the world of FOAMed without another tweet alerting me to the wonders of research. Today is no exception and despite being here at SMACCGold, needing to go for

Ambulatory PE: A walk in the park? St.Emlyn’s

  What’s your weapon of choice then??? There have been a lot of developments within the last 10 years regarding our clinical approach to the patient with suspected pulmonary embolism. Arguably, there has been a

JC: Updated NICE Head Injury Guidelines – Worth a Scan?

In the last few days Twitter has been buzzing (does twitter buzz? Or does it chirp? Tweet?) with EM practitioners getting to grips with the latest iteration of the NICE Head Injury Clinical Guideline, updated

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New NICE guidance on intravenous fluid therapy for adults in hospital: how is this relevant to EM?

  The National Institute for Health and Care Excellence (NICE) has recently issued new guidance on the use of intravenous fluids in adult patients. For those clinicians not familiar with it, NICE is the UK-based

JC: There’s no jump with a precordial thump. St.Emlyn’s

Sometimes you just feel like a bit of a fool. Like today when I wrote the post below and then asked Dr May to have a look at it. Can you guess her response? You

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

APLS weight estimation – don’t do it (well almost never). St.Emlyn’s

I’m an APLS instructor & course director and have contributed various bits and bobs over the years and it’s a great course. I’d go further and say that it’s a really great course to get

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