When emergency departments are crowded, are we describing a risk or harm that is already happening? Simon Carley challenges the language used in patient safety discussions and argues for clearer communication about crowding and its consequences.
Managing harm in the emergency department. St Emlyn’s Read More
How do we protect the parts of emergency medicine that make a career sustainable when services are under constant pressure? This reflection explores teaching, research and professional development, and the role of leaders in preserving what gives colleagues energy and satisfaction.
Maintaining a balance in tough times. St Emlyn’s Read More
A 2022 review of UK prehospital blood-product and calcium replacement protocols. The article explores variation between services, the limits of survey evidence and unanswered questions about calcium timing and dose, distinguishing associations with poor outcomes from evidence of treatment benefit.
More on Calcium and blood products in trauma. St Emlyn’s Read More
Iain and Simon review highlights from the St Emlyn’s blog in this combined June and July 2022 podcast round-up.
Podcast – June/July 2022 Monthly Round Up Read More
A 2022 review of the RECOVERY trial’s baricitinib comparison in hospitalised patients with COVID-19. It explains the adaptive trial design, examines 28-day mortality and considers the uncertainty about longer-term outcomes alongside other immunosuppressive treatments.
Baricitinib for hospitalised COVID19 patients. St Emlyn’s Read More
A critical look at the EXIT study’s 2022 consensus statements on extrication after road traffic collisions. The review considers self-extrication, gentle handling and time-critical care, alongside questions about expert selection and the modified Delphi process used to reach agreement.
The EXIT study extrication consensus statements. St Emlyn’s Read More
An update from July 2022 on refreshing the UK’s emergency medicine research priorities through the James Lind Alliance. The post explains why the exercise was being repeated and points to related priority-setting work in prehospital care and major trauma.
James Lind Partnership in EM update. St Emlyn’s Read More
A 2022 appraisal of the FORCE trial comparing an offer of bandaging with rigid immobilisation for children’s distal radius buckle fractures. It examines pain outcomes, treatment preferences and how the trial design reflects conversations with children and families.
The FORCE study: St Emlyn’s Read More
