How much diagnostic uncertainty can clinicians and patients accept? Part three of Risky Business explores how percentages and natural frequencies shape risk perception, and why missed disease must be weighed alongside the harms of further testing and the patient’s perspective.
St Emlyn’s prepared for SimWars at SMACC 2013 in Sydney with enthusiasm and a playful concern about Australian wildlife. This 2012 preview introduces the team’s plans and a pre-competition session with Minh le Cong, Natalie May and Simon Carley.
St.Emlyn’s #teamSimGB takes on the simwars SMACC2013 challenge Read More
Does tissue oxygen monitoring add useful information in sepsis? This 2012 journal club examines a small observational study of StO2, asking whether it contributes beyond lactate and conventional observations, and distinguishing an association with survival from evidence that monitoring improves patient care.
JC StO2 monitoring in the ED. St.Emlyn’s Read More
How much difference does an individual emergency physician make? Simon Carley uses the idea of a personal number needed to treat to explore teamwork, meaningful outcomes and professional worth, before proposing a more useful comparison: whether you are improving on your own previous practice.
Does the benefit of tranexamic acid vary with a trauma patient’s risk of death? This 2012 journal club discusses a CRASH-2 subgroup analysis, its implications for patient selection and the uncertainties then surrounding use before arrival at hospital.
JC: Tranexamic Acid for Everyone? – St.Emlyn’s Read More
Could some children needing wound care avoid procedural sedation? Simon Carley’s 2012 reflection describes how LAT gel changed practice in his department, while distinguishing relief of pain from management of fear and distress, and considering when additional sedation may still be needed.
Please use less Ketamine – LAT Gel at St.Emlyn’s Read More
How should a clinical topic review be organised for assessment? In this 2012 FCEM preparation article, Simon Carley connects the written structure with the published marking scheme and explains how the written review, examiner discussion and viva fitted together.
CTR – the link between structure and marking at FCEM Read More
Turning an interesting question into a clinical topic review takes more than writing up the evidence. This 2012 FCEM preparation guide discusses planning, feedback and revision, explaining why early conversations with colleagues can prevent a promising project reaching submission before its weaknesses are recognised.
CTR – How to put it together for FCEM. Read More
