On Pledging and Change at St Emlyn’s
You might not have heard of NHS Change Day but it needs you. Because – and let’s be honest here – the care that we deliver isn’t always as good […]
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JC: Updated NICE Head Injury Guidelines – Worth a Scan?
In the last few days Twitter has been buzzing (does twitter buzz? Or does it chirp? Tweet?) with EM practitioners getting to grips with the latest iteration of the NICE
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Miscommunication and Handover in the ED. St Emlyn’s
Eavesdropping On my last set of night shifts I was reviewing a patient on our observation ward when I overheard the following nursing handover: “Mrs Jones is waiting for ophthalmology
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Attitude of Gratitude – Showing Some Love in the ED
There are many things I do which are stereotypically “British”: drinking tea, apologising instinctively (especially when it isn’t my fault), engaging in our national sport (queueing), becoming intensely irritated when
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When FOAM Doesn’t Wash
The following scenario is completely fictional although it is used to represent a real-life incident. All details have been changed. “Hey – you’ll want to know about this –
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Road to… Nowhere? ED Implications of the Liverpool Care Pathway Review
If you haven’t seen recent UK media coverage of the review of the Liverpool Care Pathway I have to wonder where you’ve been. Nevertheless, I really don’t want to get
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Paediatric EM: Seeing Kids is Child’s Play at St Emlyn’s
I’ve been interested in Paediatrics for a long time (actually since I was a first year medical student, which makes it about thirteen years and makes me far older than
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Don’t Be Rash – Petechiae in Well Kids at St Emlyn’s
A 6-month-old girl is brought by mum to the ED with a cluster of non-blanching spots to her right lower leg noticed while bathing her. She has a mild cough
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