TTL tip 23: Open fractures
Practical tips for open fracture management in resus: early antibiotics, neurovascular assessment, splinting, wound dressings and timely specialist care. #FOAMed on @stemlyns
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Are we ready for war? Part 2: Preparing our emergency departments and hospitals
Could the NHS cope with a major conflict? In Part 2 of our St Emlyn’s briefing, we explore how military casualties, reduced hospital capacity, infrastructure disruption and workforce pressures could affect everyday emergency care — and why we need to start preparing now.
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Are we ready for war? Part 1: The clinical challenges of modern conflict
St Emlyn’s briefing | October 2026 Ed – this is a long read which is not our usual style, but there is much to be covered here. I hope you
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E-scooter injuries, children and safeguarding. St Emlyn’s
Journal Club review of a public health paper on e-scooter injuries and they risk they pose to patients, especially children and the implications for EM. #FOAMed
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TTL Tip 22: Graded Assertiveness
Communication is SO important in the resus room. Making sure that your message is heard and understood is really important. There are many aspects to great communication but one of
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TTL tips 21: Catastrophic Bleeding from the midface
A practical guide to the “stacking” technique for catastrophic midface bleeding in an intubated patient. Covers airway protection, facial support and nasal balloon tamponade, alongside the team and equipment needed for this temporary rescue measure.
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JC: IV or IO first in cardiac arrest? St Emlyn’s
What does pooled patient-level evidence from PARAMEDIC3 and IVIO tell us about which vascular access route to try first? Simon Carley examines survival, neurological outcomes and the practical limits of the findings for out-of-hospital cardiac arrest.
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Before ECPR: Optimising Shockable Cardiac Arrest at The Big Sick.
What can teams optimise in shockable cardiac arrest before considering ECPR? This report from The Big Sick explores defibrillation, interruptions to compressions and physiology-guided resuscitation, including the evidence gaps and debate around emerging approaches.
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