All posts by Richard Carden

Dr Richard Carden MBChB MSc BSc (Hons) PGCert FHEA MAcadMEd RAMC(V) Dr Richard Carden MBChB MSc BSc (Hons) PGCert FHEA MAcadMEd RAMC(V) is an Emergency Medicine Trainee in London. He is currently a PhD Candidate in Trauma Sciences at the Centre for Trauma Sciences. He is a Major in the British Army with 335 Medical Evacuation Regiment. He is a Co-Founder of the National Trauma Research and Innovation Collaborative and Module Lead for the MSc in Emergency and Resuscitation Medicine at QMUL. You can find him on twitter as @richcarden

SMACCDUB – A Trainee’s Perspective. St.Emlyn’s

  Having recently returned to the real world after attending SMACCDUB in Dublin, we thought we should try to articulate some of the things we learnt. Rich: Having only lost my SMACC virginity last year,

Holy Smokes! Batman, the SOFA and the Latest Sepsis Definitions

We can be a confused bunch when it comes to sepsis.  We have seen definitions, debates and controversies as to how we treat and what we treat.  Today a new definition was unleashed on the

Robocop gets the NICE 2016 major trauma treatment. St.Emlyn’s

Today, to much excitement, we saw the release of the NICE major trauma guidance.  Nat did an excellent review of the draft guidance, which you can read here.  We now have the full guideline which

Cliffhangers in the ED. St.Emlyn’s

Bandwidth as a cognitive load in the emergency department. St.Emlyn’s. Meta-cognition.

CBRN: An Introduction. St Emlyn’s

yb It is a sad reality that in this day and age the world can be uncertain, volatile and dangerous place.  CBRN (chemical, biological, radioactive, nuclear) threats are real, and as Emergency Physicians it is

Maestrini, Frank, Starling, Guyton…….and Fluids at St.Emlyn’s

Intravenous fluids are one of the most frequently implemented interventions that we, as doctors, prescribe. We give maintenance fluids (not so frequently in the ED) and we give resuscitation fluids. Recently the results of the

Lactate = LactHATE

  Like many others who attended SMACC earlier this year I returned home dazed and confused about the significance of lactate in the septic patient.  So like any good (aspiring to be) evidence-based medicine practitioner,

#SMACCUS: A Trainee Perspective

If you’re reading this blog then I am sure you are aware that last week Chicago played host to the super-galactic conference that is SMACC. Equally, I am sure you have read summary upon summary

Are We Doing All We Can For Mental Health? St.Emlyn’s

Is Mental Health a Problem in the ED? Acute (and chronic) mental health issues in the ED, to me, represent one of the trickiest and perhaps most poorly dealt with presentations in Emergency Medicine.  I

The Art of War

Emergency medicine in the UK is frequently cited by the British media as being like a warzone, and with that in mind I delved back into one my favourite books. It certainly isn’t a modern


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