What can competitive simulation teach us about working with an unfamiliar resuscitation team? Simon Carley looks back at SIMWARS at SMACC Gold, exploring communication, leadership, teamwork and the tension between education and entertainment, with a recording of the event and reflections on performing under pressure.
SIMWARS: Med-U-Tainment at SMACCGold with St.Emlyn’s Read More
A New Year message from January 2015, setting out St Emlyn’s plans for its blog, podcast and educational projects. The team looks ahead to SMACC Chicago and reflects on the conference’s combination of medicine, education, entertainment and professional community.
A New Year message to SMACC from St.Emlyn’s Read More
Why did progesterone’s promise in experimental brain injury fail to translate into benefit in a large clinical trial? This 2014 journal club examines patient selection, randomisation, anticipated treatment effects and stopping for futility, using the study to explore the challenges of translating laboratory findings into patient care.
JC: Progesterone’s pleiotropic failure in head injury. St.Emlyn’s Read More
Could time spent in an emergency department offer an opportunity for sexually transmitted infection screening? This 2014 appraisal examines a trial of brief counselling and testing in young women, questioning its sample size, generalisability and whether measuring immediate uptake captures the wider value of screening.
Sexually Transmitted Infection Screening in the ED Read More
A satirical ‘Fellowship of Corridor Medicine’ introduces a serious discussion of emergency department overcrowding. Simon Carley follows the spoof with practical reflections on departmental leadership, communication, sharing risk across the hospital and supporting patients and staff when demand overwhelms the space available for safe care.
Studying for FCM (Fellow of Corridor Medicine) at St.Emlyn’s Read More
A 2014 appraisal of MR CLEAN, an early positive trial of intra-arterial treatment for selected patients with acute ischaemic stroke. Simon Carley examines imaging-based selection, pragmatic treatment choices and functional outcomes, while asking how confidently one trial could support wider adoption at the time.
JC: Intra-arterial treatment for Stroke Read More
This 2014 journal club examines the PARAMEDIC trial of mechanical versus manual CPR in out-of-hospital cardiac arrest. Alongside the cluster-randomised design and survival findings, Simon Carley reflects on separating life support from treatment of the underlying cause and how resuscitation teams divide their attention.
JC: PARAMEDIC trial m-CPR at St.Emlyn’s Read More
What do clinicians mean when they talk about ‘gestalt’? Simon Carley introduces its origins in perception, uses visual examples to explain how patterns emerge from fragments, and considers how these ideas relate to bedside assessment, ECG interpretation, clinical judgement and information that is difficult to measure.
What is Gestalt? St.Emlyn’s Read More
