Why is diagnosis more than a yes-or-no answer? Iain Beardsell and Simon Carley use chest pain to explore how tests move clinical probability, linking sensitivity, specificity and likelihood ratios to decisions about further investigation and treatment in the second part of their diagnostic reasoning series.
Podcast – Diagnosis in Emergency Medicine Part 2 – Beyond a simple yes or no Read More
Iain Beardsell and Simon Carley follow a patient with acute asthma through assessment, treatment and disposition in this 2015 induction podcast. The case-based discussion explores recognising severity, reassessment, seeking senior support and planning discharge, including inhaler technique, follow-up and advice about returning if concerns persist.
Podcast – Intro to EM: The Patient with Asthma Read More
Recorded at the London Trauma Conference in 2014, Iain Beardsell and Gareth Davies discuss impact brain apnoea after head injury. They explore the proposed physiology, difficulties in gathering evidence and the potential role of bystanders and early responders in addressing airway and breathing problems.
Podcast – Impact Brain Apnoea with Gareth Davies (LTC 2014) Read More
The final day of the London Trauma Conference 2014 turns to prehospital care and air ambulance operations. This report covers training and performance, introducing new procedures, difficult transfers and the human impact of fatal helicopter crashes, alongside brief discussions of emerging trauma therapies and responder technology.
St Emlyn’s at the London Trauma Conference – Day 3 Read More
St Emlyn’s reports from the opening day of the London Trauma Conference 2014, with an accompanying podcast summary. Topics include traumatic arterial dissection, impact brain apnoea, the development of major trauma centres, research involving children and older people, and trauma care in motorsport.
St Emlyn’s at the London Trauma Conference – Day 1 Read More
When clinicians rely on instinct, how do they recognise when their own judgement is becoming less reliable? Iain Beardsell reflects on fatigue, distraction, emotional reactions and time pressure, sharing personal strategies for protecting attention and asking colleagues for support when he is not at his best.
When we are the Diagnostic Test – Gestalt at St Emlyns Read More
A 2014 induction podcast in which Iain Beardsell and Simon Carley work through the assessment of chest pain. They discuss serious possible causes, the role and limits of ECGs and investigations, seeking senior advice and explaining uncertainty to patients when a definite diagnosis remains elusive.
Podcast – Intro to EM – Chest Pain Read More
Why does accurate emergency department coding matter beyond hospital income? This 2014 podcast introduction explains the English payment system used at the time and how incomplete records can distort accounts of the care patients receive, encouraging clinicians to record investigations, treatment and discharge information carefully.
Show Me The Money: Coding at St.Emlyn’s Read More
