This 2019 overview of Listeria covers foodborne transmission, groups at higher risk and the range of clinical presentations. It considers investigation and recognition of serious infection, with treatment decisions referred to local microbiology advice and guidance.
All you need to know about Listeria. St Emlyn’s. Read More
What can Game of Thrones teach us about critical appraisal? This festive journal club examines a study of character survival, using its methods to explore cohort selection, outcome definitions and statistical analysis. Expect spoilers from the first seven seasons and a deliberately light-hearted approach to research.
StE Journal Club: a Christmas Games of Thrones issue Read More
Written after two imported UK cases in September 2018, this article introduces the infection then described as monkeypox. It reviews transmission, clinical features and the importance of travel history, specialist assessment and infection precautions, reflecting the information and public health context available at that time.
Monkeypox has arrived. Is the panic justified? Read More
Distinguishing peripheral dizziness from posterior circulation stroke can be difficult in the emergency department. This 2018 review discusses bedside assessment, including nystagmus, HINTS, neurological examination and gait. It emphasises the knowledge and practice needed to use these techniques, rather than offering a simple discharge rule.
JC: Can I safely discharge dizzy patients from the ED? Read More
When emergency-department pressures affect morale, how can colleagues make the working day more supportive? Janos Baombe shares experience-based ideas about gratitude, helping others, explaining plans and choosing words carefully. He also reflects on emotional responses to difficult cases and the value of acknowledging them within the team.
Tough Times in the Emergency Department. St.Emlyn’s Read More
How much does delay matter when giving tranexamic acid? This 2017 journal club examines individual patient data from CRASH-2 and WOMAN, exploring the relationship between treatment timing and bleeding deaths, the size of the benefit and the analysis’s limitations.
JC: Does earlier TXA save lives? St.Emlyn’s Read More
A useful travel history goes beyond asking where someone has been. This guide explores itinerary, symptom timing, immunisations, prophylaxis and possible exposures, showing how the details can inform assessment of imported infection and conversations with infectious disease colleagues.
Taking a travel history in the ED by StEmlyns Read More
An accessible 2017 introduction to HIV pre-exposure prophylaxis explains why PrEP matters to emergency clinicians and patients. It discusses the evidence available then, sexual-health follow-up and the limits of protection, with access and prescribing details reflecting that period.
Are you PrEP-d for your Saturday night? St.Emlyn’s Read More
