How were emergency medicine’s research priorities chosen in 2017? This report and podcast introduction describe the James Lind Alliance and RCEM process, bringing patients, clinicians and researchers together to rank unanswered questions and guide future research beyond individual interests.
Here’s the top 10 (and more) research priorities in EM. James Lind & St.Emlyn’s Read More
Can emergency medicine remain a broad specialty as clinical practice becomes more specialised? Reflecting on his SMACCDub debate with Scott Weingart, Simon Carley examines generalism, critical-care skills and the risk that subspecialisation fragments the team’s ability to care for undifferentiated patients.
An uncomfortable truth: Is Emergency Medicine a failed paradigm? St.Emlyn’s Read More
A 2017 Northern Emergency Medicine conference companion introduces eleven papers on resuscitation, trauma, paediatric asthma and clinician wellbeing. Short appraisals and links to fuller discussions encourage readers to look beyond headline results before deciding what the findings mean for their patients.
10+1 papers for the Northern Emergency Medicine conference. St.Emlyn’s Read More
The St Emlyn’s team looks back on 2016 through clinical successes, teaching experiences, research milestones and personal moments. These reflections share the people, ideas and learning opportunities that mattered to the contributors, alongside hopes for the year ahead.
2016 Review. St.Emlyn’s Read More
Could selected patients with uncomplicated appendicitis receive antibiotics without a hospital admission? This 2016 appraisal examines a small pilot trial, questioning its mixed treatment comparison, restrictive eligibility and what feasibility findings can establish before a larger, more definitive study.
JC: Does every appendicitis need admission? St.Emlyn’s Read More
Who should decide which medical research clinicians can read and trust? Reflecting on a 2016 SMACC debate, Simon Carley questions journal paywalls and traditional publishing incentives, while exploring open access, post-publication review and the unresolved problem of sustainable alternatives.
The future of medical publishing. St.Emlyn’s Read More
What can UK registry data tell us about traumatic cardiac arrest? This 2016 appraisal examines survival and injury patterns in TARN, while explaining why observational associations cannot establish which interventions work and why different causes may require different approaches.
JC: UK traumatic cardiac arrest stats. St.Emlyn’s Read More
Chest drain insertion involves more than getting a tube into the chest. This 2016 teaching post discusses patient selection, analgesia, ultrasound, drain size and secure fixation, combining published evidence with the author’s practical experience and acknowledging important uncertainties.
Chest drains & aspiration: Do it better with St.Emlyn’s Read More
