All posts by Simon Carley

Simon Carley MB ChB, PGDip, DipIMC (RCS Ed), FRCS (Ed)(1998), FHEA, FAcadMed, FRCEM, MPhil, MD, PhD is Creator, Webmaster, owner and Editor in Chief of the St Emlyn’s blog and podcast. He is visiting Professor at Manchester Metropolitan University and a Consultant in adult and paediatric Emergency Medicine at Manchester Foundation Trust. He is co-founder of BestBets, St.Emlyns and the MSc in emergency medicine at Manchester Metropolitan University. He is an Education Associate with the General Medical Council and is an Associate Editor for the Emergency Medicine Journal. His research interests include diagnostics, MedEd, Major incidents & Evidence based Emergency Medicine. He is verified on twitter as @EMManchester

More on Calcium and blood products in trauma. St Emlyn’s

This week we have a nice paper that highlights some of the ongoing thoughts and controversies about the use of calcium in major haemorrhage protocols. Hopefully you’ve already read Iain’s excellent review of the matter

June/July 2022 podcast round up. St Emlyn’s

Iain and Simon run through the best of the blog from June and July 2022.

Baricitinib for hospitalised COVID19 patients. St Emlyn’s

We’ve reported on the RECOVERY trial several times already on the blog. It stands out as the most important trial of therapeutics in hospitalised patients with COVID19. In the last month the RECOVERY trial has

The EXIT study extrication consensus statements. St Emlyn’s

As several of you may know already, I’ve been spending a lot more time in the pre-hospital environment in the last few years. Despite many years working in busy emergency departments seeing many of the

James Lind Partnership in EM update. St Emlyn’s

Just tell me what I need to do! OK! Follow this link: JLA PSP Refresh Prioritisation Survey ( or use this QR code. Tell me more about this James Lind thing. Just a quick reminder

The FORCE study: St Emlyn’s

As someone who works across both PEM and adult EM it’s interesting to reflect on how the workload varies. These days my adult work is heavily skewed to complex majors and resus patients. This is

May 2022 podcast round up. St Emlyn’s

Our regular review of the best of the blog and podcast from May 2022. A quiet month on the blog as a result of COVID and a trip to Lithuania for the #litsem conference (more

JC: Vitamin C and sepsis (again). St Emlyn’s

The story of vitamin C in sepsis is fascinating. There was a great deal of controversy around what became known as the Marik protocol (after Prof. Paul Marik). The protocol included the use of vitamin

Differential prescribing of TXA by gender. St Emlyn’s

Tranexamic acid in trauma is a well-established standard of care in most mature trauma systems. The two major trials of TXA, CRASH 2 and 3 suggest a small but important decrease in mortality for patients

March/April Podcast 2022. St Emlyn’s

Our regular review of the blog and podcast from March/April 2022 with Simon and Iain. This month we saw the podcast pass over 1 Million downloads. Thanks to everyone out there who listens and gives