Category: Clinical Guidelines

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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. The NAP4 anaesthesia audit.

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

JC: Can I safely discharge dizzy patients from the ED?

  Last month, I came across a clinical review published in the Annals of Emergency Medicine1 that got me really excited! It got me excited (in a geeky professional sense of course…) as it covered

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St.Emlyn’s goes further north – NEM Conference #NEMC18

It’s the second time I’ve been to the Northern Emergency Medicine conference, this year held in the sunny city of Durham. I say sunny… I needed my jacket. Last year’s programme was great and included

DBI devaststing brain injury stemlyns

JC: Devastating Brain Injury. Complex decisions in the resus room. St.Emlyn’s

Social media can sometimes give the impression that all is rosy in the world of resuscitation. We hear of the amazing saves, the wonders of ECMO, helicopters and heroic acts with great outcomes, but the

MARSIPAN – Not just for (Christmas) Cakes. St.Emlyn’s

  This is a guest post from Vicky Vella, EM Associate Specialist in the UK. Vicky got in touch after this tweet came onto our timelines recently. I had to admit that I was also