How does repeated excess paracetamol taken for pain differ from other overdose presentations? This 2017 discussion explores therapeutic excess, risk assessment and the consequences for admission. It repeatedly stresses checking current TOXBASE or local toxicology guidance, rather than relying on the historical thresholds described in the post.
Management of paracetamol therapeutic excess in the ED. St.Emlyn’s. Read More
How do we make decisions when time is short and information incomplete? This introduction to St Emlyn’s first e-book brings together risk, probability and metacognition, explaining why thinking about our thinking matters in emergency medicine.
Risk, probability and decisions in Emergency Medicine. St.Emlyn’s Read More
A 2017 conversation with the #bad_EM team explores African emergency medicine, shared learning and plans for the 2018 festival conference near Cape Town. The accompanying post considers why locally relevant FOAMed and support for African delegates matter.
Brave African Discussions, EMSSA and the festival conference 2018. St.Emlyn’s Read More
Should patients without ST elevation undergo early coronary angiography after cardiac arrest? This 2017 review examines mortality and neurological outcomes, then challenges the impressive apparent benefit by considering selection bias, retrospective studies and the limited randomised evidence available at the time.
JC: Should non ST elevation ROSC patients go to cath lab? St.Emlyn’s Read More
How can FOAMed support teaching at the bedside? This RCEM 2017 update offers practical starting points, from selecting blogs and podcasts to building a personal learning network and following a clinical conversation with a relevant resource link.
Update on #FOAMed on prescription at #RCEMasc. St.Emlyn’s Read More
The final day of EMSSA 2017 considers the future of emergency care in Africa, from collaborative leadership to scalable systems. This co-created report also captures reflections on life beyond medicine and a session on rhino protection in the Pilanesberg.
EMSSA Day 3 co-created review with St.Emlyn’s Read More
Day two of EMSSA 2017 moves from resuscitation and paediatric trauma to emergency care in low-resource settings. This collaborative report brings together sessions on knowledge translation, snakebite and malaria, alongside discussions of bullying, staff safety and the ethics of volunteering.
EMSSA Day 2. Co-created conference report with St.Emlyn’s Read More
The first day of EMSSA 2017 explores prehospital and emergency care in South Africa. This co-created report covers the future of EMS, violence against crews, analgesia and critical-care transfers, alongside reflections on compassion, resilience and sustaining a career.
EMSSA Day 1 review. Co-created review with St.Emlyn’s. Read More
