So, you’re about to become an ST3? Part 2 – Work/Life
It’s changeover week, so across the country trainees are moving up a grade in their career ladder. There are new doctors, just finished medical school. There are senior registrars becoming consultants. There are ST2s …
So, you’re about to become an ST3? Part 1 – Portfolio
In the UK, the route to Emergency Medicine Consultantdom starts after foundation training, with a three year funfest commonly known as Acute Care Common Stem, or ACCS. It’s a shared pathway for doctors wishing to …
Are you PROcalcitonin? St.Emlyn’s goes bug-hunting.
At work the other day, someone mentioned that we could use procalcitonin to distinguish between viral and bacterial infections, particularly in the paediatric population. It was touted as the answer to that age-old question, “should …
Upper Gastro Intestinal Bleeding at St.Emlyn’s.
Earlier this week, Simon and Iain released a podcast on the management of acute upper gastrointestinal bleeding. Welcome to the blog post version, for all your textual needs. Around 60,000 people are admitted into hospital every year …
A new view on life. Augmenting Reality at St.Emlyn’s.
Unless you’ve been on holiday in, say, Antarctica for the last few weeks (or still haven’t recovered from SMACC), you’ll have probably heard about this small game called Pokémon GO. You may have even been on …
#smaccAIRWAY – Airway Masterclass at #smaccDUB
In its 4th iteration at SMACC this year, the airway workshop was held twice – in the morning and afternoon. It was essentially a masterclass in what is being developed and implemented regarding airway …
Overconfidence in the ED
If you have ever worked as or with a doctor, you’ve probably encountered something called a multi-source feedback form, or a “360 appraisal”. It is part of the process for junior doctors to progress to …
Managing Acute Behavioural Disturbance
A 31 year old gentleman is wheeled into your resuscitation room by two paramedics and four police officers. You were pre-alerted five minutes ago that you would be receiving an agitated man who was found …
The Illusion of Frequency. Baader-Meinhof storm St.Emlyn’s
Isn’t it strange how the incidence of certain pathologies always seems to increase right after you’ve read up on them? Think about it for a moment. At teaching, someone gives a presentation on aortic …
Let’s talk about subarachnoid haemorrhage
subarachnoid management and diagnosis in the emergency department. St.Emlyn’s controversies in the use of CT scanning lumbar puncture LP and medical therapy.