Tag: CAP6

We call it massiiiiiiivve. PE at St Emlyn’s

I have been asked to talk about the diagnosis of massive PE for the upcoming EUSEM congress in Glasgow this month. We have blogged on this before1, but it’s a thorny issue and one that

St.Emlyn’s takes a NAP

Thinking about a NAP after reading the title? If you’re an emergency clinician, you probably came to this post thinking one of two things: A nap? They sound pretty cool, I could use one of

101 Reflective Lessons from a Year with Sydney HEMS. Part Three: Clinical

This post, detailing my reflections on clinical retrieval medicine, is the third in a series recording my reflections on the past twelve months, which I have spent working for Sydney HEMS in prehospital and retrieval medicine.

The Argument for Systemic Thrombolytics in Submassive Pulmonary Embolism. Swami at St.Emlyn’s

On June 15th 2016, I delivered an 8 minute talk arguing that we strongly consider the administration of systemic thrombolytics in patients with submassive pulmonary embolism at SMACCDub. This talk became infamous not for the

JC: POCUS for the breathless patient. St.Emlyn’s

This might be the paper (or perhaps the first of many papers) that I’ve been waiting for. Like many colleagues in the #FOAMed world I’m a big fan of point of care ultrasound (POCUS) in

Self Experimentation in Medical Education – LA for ABGs

You are probably aware that many great scientific discoveries have been made when doctors decide to experiment on themselves. Self experimentation is sort of a tradition – take the famous discovery of Helicobacter pylori‘s role

JC: Did Video kill the Laryngoscope star? Here comes the evidence. St.Emlyn’s

Although Britain and Ireland appear to be really rather fabulous at Rugby….thought I’d get that in there….., I do worry that we are falling behind the curve in terms of laryngoscopy in the ED. If

JC: Should we use Heimlich Valves for ambulatory pneumothorax management? St. Emlyn’s

Here at St. Emlyn’s we have been managing patients with pneumothoraces as out patients for many years. The approach in the UK has been ‘guided’ by the BritishThoracic Society guidelines. For many PNXs we simply

JC: Does Magnesium work in asthma? St.Emlyn’s

This is a roller coaster journey  for me. Many years ago Virchester ED was one of the first hospitals to start using Magnesium for the treatment of acute severe asthma. This prompted great concern amongst

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.


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