Category: Clinical Guidelines

NICE guidance
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HIV screening in the ED. When, who and why. St.Emlyn’s

Are you feeling upset that this post is not about something really cool like ECMO, laryngoscopy or RSIs? Well maybe you are and that’s OK. A lot of #FOAMed is about the really top end

JC: Does earlier TXA save lives? St.Emlyn’s

Administration of tranexamic acid (TXA) is integral part of the management for major trauma patients in the UK. It is deemed such an important aspect that its administration is used as a quality indicator to

RCEM ASC 2017 – Update on the TiLLI study

It is the week of the annual scientific conference for the Royal College of Emergency Medicine again. As usual the St Emlyns team is in the thick of it and when someone mentioned clots I

Who gets a Tetanus? You get a Tetanus!

UPDATE – This post still contains relevant information about tetanus, immunisation schedules, and management of clinical tetanus, however the UK guidelines have changed. Please continue to read this post, but then check out this update for

Are you PrEP-d for your Saturday night? St.Emlyn’s

6 Background:I have tried to write this post using non-medical jargon and I’ve not expanded so much on the background medical evidence. I am hoping that this post will be disseminated outside of our usual

JC: Are we getting cosy on the septic SOFA? St.Emlyn’s

  Identifying, treating and prognosticating patients who attend the Emergency Department with infective symptoms, is part of the bread and butter of an emergency physician’s practice. It’s important that we identify patients that will develop

JC: Turn it Down to 11 – Benzos for Back Pain

The topic of lower back pain of undifferentiated origin is one that is close to my heart for at least two reasons. The first one is professional, as daily we see and manage a significant

Upper Gastro Intestinal Bleeding at St.Emlyn’s.

Earlier this week, Simon and Iain released a podcast on the management of acute upper gastrointestinal bleeding. Welcome to the blog post version, for all your textual needs. Around 60,000 people are admitted into hospital every year

Apparent Life Threatening Events in Babies – Trouble BRUEing

  Whenever I start to think about teaching on a paediatric subject, I feel like I should open with a reminder that being a parent is HARD. It’s REALLY HARD. Especially for first-time parents with newborn

Managing Acute Behavioural Disturbance

A 31 year old gentleman is wheeled into your resuscitation room by two paramedics and four police officers. You were pre-alerted five minutes ago that you would be receiving an agitated man who was found