Neonates are more than miniature adults. Using a Micro Machines analogy, Natalie May’s 2018 teaching session revisits neonatal resuscitation and common emergency presentations, from feeding and cardiac problems to sepsis and seizures. It highlights the physiological differences that make assessment and early specialist support so important.
Micro Machines: Sick Neonates at #RATH2018 Read More
Natalie May rounds up apps discussed in the technology session at EMSA 2018. The selection spans clinical reference, simulation, ultrasound, professional learning and everyday organisation, with examples of how speakers used these tools in practice. It offers a snapshot of their digital toolkit at the time.
Top Apps at #EMSA18 St Emlyn’s Read More
What stays with clinicians after a lesson learned the hard way? Natalie May reflects on an EMSA 2018 session covering handover, prehospital priorities, career values and preparation. Her own contribution examines implicit bias, privilege and the need to understand a patient’s perspective rather than assume it matches our own.
Lessons Learned at #EMSA18 Read More
Natalie May revisits paronychia in the emergency department, from nail-fold anatomy and acute infection to drainage, antibiotics and follow-up. This 2018 review also distinguishes chronic paronychia, herpetic whitlow and more serious mimics, while acknowledging the limited evidence behind some familiar management approaches.
Pointing the Finger – Paronychia in the Emergency Department Read More
The final report from badEMfest 2018 brings together workshops on simulation, major incidents and venomous plants and animals, followed by talks on organ donation, cruise ship medicine and patient safety. Simon Carley and Natalie May reflect on the shared learning and connections that made the gathering memorable.
#badEMfest18 Day 4. Farewell and thank you from St Emlyn’s Read More
When does presumed alcohol intoxication conceal something more serious? Natalie May reviews two observational studies of altered consciousness, including patients without detectable alcohol and those with coexisting critical illness. The discussion explores diagnostic bias, the limits of alcohol testing and the importance of looking beyond the initial label.
Day three of badEMfest 2018 connects prehospital and retrieval learning with the patient’s experience of care. Highlights include wilderness rescue, research priorities, end-of-life discussions, handwashing and chronic pain, alongside reflections on teamwork and what clinicians can learn from becoming patients themselves.
#badEMfest18 Day 3. St Emlyn’s Read More
Should injured children receive whole-body or selective CT? Natalie May examines a 2018 observational study of paediatric trauma, explaining propensity-score adjustment and what its mortality findings can—and cannot—tell us. The discussion challenges the assumption that adult imaging practice should automatically transfer to children.
Journal Club – Trauma CT in Paediatric Patients Read More
