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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

JC: Are CT scanners getting more sensitive at detecting SAH? St Emlyn’s

JC: Are CT scanners getting more sensitive at detecting SAH? St Emlyn’s

There is no doubt that sub-arachnoid haemorrhage is an important diagnosis in the emergency department. It is arguably especially important in the cohort of patients who present with lesser signs/symptoms as they are the group

JC: More on pulse oximetry and racial bias. St Emlyn’s

This week we are reviewing a paper on the accuracy of pulse oximetry in patients being assessed for ECMO. This is an interesting group as they represent and extremely unwell group of patients where small

CODA: Is Emergency Medicine a failed paradigm? Revisited with St Emlyn’s

This week the CODA team have re-released the video and audio from a talk I did with Scott Weingart at SMACC in Dublin. We were tasked with answering the question of whether emergency medicine is

October round up podcast. St Emlyn’s

Our regular round up of the October 2021 content from the blog and podcast at St Emlyn’s with Iain and Simon.

JC: Can we use smaller pigtail drains in traumatic haemothorax?

Back in 2016 we published a blog on chest drains and chest aspiration, in which we argued that the dogma of putting in huge drains for traumatic haemothoraces should be questioned. The dogma of using

#EuSEM21 The power of stories in Emergency medicine education revisited.

This week I was lucky enough to attend the European Society of Emergency Medicine conference in Lisbon in person. It has been a wonderful experience to once again reconnect with people face to face. Since

Cauda Equina

JC: Re-evaluating risk factors for Cauda Equina. St Emlyn’s

The diagnosis of cauda equina in the emergency department is complex and has the potential for significant patient harm if we get it wrong. Linda Dykes put together an excellent infographic on this back in

JC: The REST trial. St Emlyn’s

Some years ago I remember speaking to a rather well known intensivist who was advocating for the extracorporeal removal of CO2 in ICU patients. His logic was that in patients with hypoxic lung failure we

CTCA

JC: CTCA for cardiac chest pain in the ED. St Emlyn’s

Computed Coronary Angiography (CTCA) has been advocated as a useful adjunct in the investigation of acute coronary syndromes (ACS) in the ED. Although we’ve made huge progress in the diagnosis of ACS through the use

August 2021 podcast round up. St Emlyn’s

Our regular round up of the best of the blog from August 2021 with Iain and Simon.

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