Category: Clinical Guidelines

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JC: Cricoid Pressure and RSI, do we still need it? St Emlyn’s

This blog reviews the first large randomised controlled trial of cricoid pressure in emergency patients as published in JAMA Surgery, October 2018. Cricoid pressure is controversial. Although it has been taught in anaesthesia practice, since

Monkeypox has arrived. Is the panic justified? St Emlyn’s

This blog provides a rapid update on the diagnosis and management of the emerging infection ‘MonkeyPox’. If you want the short answer to the question then it’s no. Don’t panic, but do read on to

We call it massiiiiiiivve. PE at St Emlyn’s

I have been asked to talk about the diagnosis of massive PE for the upcoming EUSEM congress in Glasgow this month. We have blogged on this before1, but it’s a thorny issue and one that

Top Apps at #EMSA18 St Emlyn’s

One of the other sessions I spoke in at EMSA18 was the technology session, when four of us (Jesse Spurr, Michael Edmonds, Lachlan “Lachie” Graham and I), chaired by Andrew Perry, presented our top apps.

Troponin and biotin: a lethal combination?

Imagine you’re treating a patient who presented with typical cardiac chest pain. The initial ECG showed subtle lateral ST depression that seemed to resolve on subsequent ECGs. You’re very concerned by the clinical picture and

JC: Fluid resuscitation in paediatric DKA. St Emlyn’s

Over the years I’ve had some interesting, and not entirely positive interactions when treating diabetic ketoacidosis in kids. These usually focus around some very strongly held views that unless you do exactly what the other

St.Emlyn’s takes a NAP

Thinking about a NAP after reading the title? If you’re an emergency clinician, you probably came to this post thinking one of two things: A nap? They sound pretty cool, I could use one of

JC: Oxygen in the Acutely Unwell Patient. St Emlyn;s

When I started in medicine all resuscitation started with some form of supplemental oxygen. Whether that was by face mask, LMA or intubation, oxygen was the mainstay of initial treatment and you would even fail

Complications of anticoagulation and how to manage them. St Emlyn’s

So, this was the lecture title I was given for the RCEM CPD conference this year for the geriatric medicine session. Quite the opposite of what I usually talk about, which is thrombosis and why

Journal Club – Trauma CT in Paediatric Patients

I have a confession to make – I once requested a whole body CT (WBCT) in a paediatric patient. [Yes, yes, I know!] To be fair, we didn’t know he was a paediatric patient at


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