An introduction to a series of personal experiments in emergency medicine education, inspired by philosophy and deliberate practice. The exercises aim to challenge clinicians’ thinking, empathy, communication and teaching through repetition and reflection, with a link to the collection developed by the St Emlyn’s team.
101 Personal Experiments in Emergency Medicine Education Read More
How common is pituitary dysfunction after serious head injury, and what should clinicians do about it? This 2014 journal club reviews a meta-analysis of patients requiring critical care, distinguishing evidence of endocrine abnormalities from unanswered questions about screening, treatment and outcomes.
JC: Anterior pituitary disorder following head injury Read More
A report from Retrieval 2014 in Glasgow, with a recorded talk on the first hour of paediatric sepsis aimed at generalists who care for children. Simon Carley also shares conference highlights on retrieval leadership, resilience, simulation and prehospital care.
Paediatric sepsis: The first hour. PLUS St.Emlyn’s at #Retrieval2014 Read More
Could ROTEM help identify coagulation problems beyond trauma patients in the resuscitation room? This 2014 journal club reviews a small study in hypovolaemic shock, examining recruitment difficulties, the distinction between correlation and agreement, and the limits of an early proof-of-concept study.
JC. ROTEM for ED coagulopathy detection. St.Emlyn’s Read More
A short reading guide to two reviews of resuscitation research from 2013. The linked papers cover topics ranging from cardiac arrest prevention, basic life support and education to advanced life support, post-resuscitation care, prognostication and cardiac arrest centres.
JC: Rapid update on the resus pearls of 2013. St.Emlyn’s Read More
A 2014 journal club examines falling severe-sepsis mortality across Australian and New Zealand intensive care units between 2000 and 2012. It asks what improving outcomes might tell us about the whole package of care, while distinguishing historical comparisons from evidence for any single treatment.
JC: What has an awesome NNT of 5.8 for severe sepsis? St.Emlyn’s Read More
What can elite cycling and Formula One teach an emergency department about improvement? This reflection explores marginal gains: finding small weaknesses in everyday processes and addressing them consistently, rather than relying entirely on the next dramatic advance in resuscitation.
Marginal gains, Matt Parker, F1 and the ED. St.Emlyn’s Read More
An initial response to the 2014 ProCESS trial of protocolised sepsis care. The post asks how changing background care, differences between patient populations and widespread adoption of resuscitation principles might affect the interpretation of a trial that challenged early goal-directed therapy.
JC: Is Early Goal Directed Therapy dead? St.Emlyn’s Read More
