Monkeypox has arrived. Is the panic justified? St Emlyn’s
This blog provides a rapid update on the diagnosis and management of the emerging infection ‘MonkeyPox’. If you want the short answer to the question then it’s no. Don’t panic, but do read on to …
JC: Can I safely discharge dizzy patients from the ED?
Last month, I came across a clinical review published in the Annals of Emergency Medicine1 that got me really excited! It got me excited (in a geeky professional sense of course…) as it covered …
Tough Times in the Emergency Department. St.Emlyn’s
Times are tough in the Emergency Department. Is your ED seeing an unprecedented number of patients lately? Do you feel like you are under excessive pressure because of this? Do you recently feel low …
JC: Does earlier TXA save lives? St.Emlyn’s
Administration of tranexamic acid (TXA) is integral part of the management for major trauma patients in the UK. It is deemed such an important aspect that its administration is used as a quality indicator to …
Taking a travel history in the ED by StEmlyns
Clinical scenario: A young man returns from Thailand where he spent two weeks in rural areas backpacking, rafting, mountain climbing before he starts university back home in Scotland. He has returned to the UK …
Are you PrEP-d for your Saturday night? St.Emlyn’s
6 Background:I have tried to write this post using non-medical jargon and I’ve not expanded so much on the background medical evidence. I am hoping that this post will be disseminated outside of our usual …
How is your eating hygiene at work?
This blog post is the latest release from the StE team around clinicians’ wellbeing. We often forget that despite being superheroes on a daily basis (we save lives after all – let us celebrate it) …
JC: Intubate or not intubate? That is the question…
Clinical scenario: A multi-morbid, elderly patient with renal failure and recently diagnosed hyperkalaemia suffers a cardiac arrest in your busy resuscitation area before you can start appropriate treatment. You start CPR with a fully …
JC: Turn it Down to 11 – Benzos for Back Pain
The topic of lower back pain of undifferentiated origin is one that is close to my heart for at least two reasons. The first one is professional, as daily we see and manage a significant …
Five risks for training in Emergency Medicine. St.Emlyn’s
DISCLAIMER: the below tips are based on my conversations with trainers and trainees. It’s unashamebly anecdotal but I make few apologies for that. I’ve supported emergency medicine trainees from all around the world and a …