Tag: CC5

Emergency medicine, a risky business part 7: Risk proximity

Risk proximity is an important concept. In simple terms it just describes the time from an event happening and the risk potentially occuring. It’s not something that we often think about in the emergency department,

JC: High sensitivity Troponin I on presentation. Is it enough to rule out ACS? St.Emlyn’s

As you surely know we love thinking about Troponin at St.Emlyn’s. We have our own world expert in Rick Body and there is loads of stuff here on the site about the use (and abuse)

Making good decisions in the ED. #RCEM15 #EuSEM15

This blog is based on a talk I gave at the Royal College of Emergency Medicine conference in Manchester, and a similar talk on Metacognition in the ED delivered today in Torino at the EuSEM

Nil nocere: do no harm reversing warfarin!

A familiar scenario: You are on duty and your standby phone goes off just as you have come back from your coffee break. The ambulance cell informs you that they are bringing in an elderly

VTE masterclass with Dan Horner at #RCEM15

You don’t need me to tell you that VTE is a huge problem. 10 million cases worldwide, a cost to the NHS of £466,000,000 and half a million European deaths every year spell it out.

Guess or Gestalt in Major Trauma at St.Emlyn’s

I was recently fortunate enough to speak at the the Emergency Medicine Educators Conference in Coventry on a subject that continues to interest me, that of gestalt, judgement and clinical decision making. As I get

Is severe chest pain more likely to be a heart attack?

    Have you ever heard this sort of conversation in your ED? Junior ED doc: Can I run my patient by you, please? Senior ED doc: Sure Junior: I  have a 40 year old man with chest

When we are the Diagnostic Test – Gestalt at St Emlyns

There are many reasons why I enjoy being part of the St Emlyn’s team, not least the chance to share ideas and beliefs about EM with some of the most thoughtful physicians I’ve ever met.

What is Gestalt? St.Emlyn’s

If you’re a #FOAMed fan then you will have come across the term Gestalt quite a lot in recent months. Many conversations about clinical decisions hinge around this elusive, slippery and somewhat obscure term. Perhaps

How low can you go? Experiential learning at St.Emlyn’s

Some time ago I was teaching our foundation (most junior) doctors about sepsis with a focus on the interpretation of blood gases. The teaching session ran along the usual lines of normal ranges, basic physiology


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