Category: Clinical Guidelines

NICE guidance
Pinks
BestBets

The European Guideline on Management of Major Bleeding – are you in or out?

After my recent, hugely enjoyable, trip to Austria and attendance at the “notfallmedizin 2016” where, as well as doing a talk about FOAMed, I chaired a session on “Volume and Coagulation” I became aware that

When to withdraw resuscitation in the Emergency Department. St.Emlyn’s with Richard Taylor.

When can and should we withdraw from continuing resuscitation in the ED? The standby phone rings: Post cardiac arrest patient, approximately 50. Intubated, BP 80/40, GCS 3. ETA 5 minutes. You meet the crew in

Holy Smokes! Batman, the SOFA and the Latest Sepsis Definitions

We can be a confused bunch when it comes to sepsis.  We have seen definitions, debates and controversies as to how we treat and what we treat.  Today a new definition was unleashed on the

Robocop gets the NICE 2016 major trauma treatment. St.Emlyn’s

Today, to much excitement, we saw the release of the NICE major trauma guidance.  Nat did an excellent review of the draft guidance, which you can read here.  We now have the full guideline which

S

Speak Up! Have your say on the NICE guidance for Major Trauma

A draft of the NICE guidance on assessment and management of major trauma was released this morning for stakeholder consultation. If you work in a major trauma centre, in a trauma unit – or in any

Taking a sexual history in ED

Emergency physicians often feel that taking a sexual history in EDs is something medical school and specialty training have not prepared them very well for. This comes as no surprise as it differs significantly from

JC: EAST – Let’s Be Blunt About ED Thoracotomy

You may have heard it said that the hardest thing about performing a resuscitative thoracotomy is the decision to do it. You may also have heard it said that the above statement is nonsense; that if you

How to prepare your ED for a MERS-CoV outbreak

Following a successful local collaborative Ebola campaign preparation last year, the team at Virchester ED have started preparing for the next outbreak of infectious disease that threatens our quiet shores: the Middle-East Respiratory Syndrome (MERS).

JC: One Benzo Fits All? Lorazepam vs Diazepam for Paediatric Status Epilepticus

It’s been a little quiet of late here in the lofty towers of St Emlyn’s Virtual Hospital, not because the patients have stopped coming (trust me, they haven’t) but because many of the clinicians have

Are We Doing All We Can For Mental Health? St.Emlyn’s

Is Mental Health a Problem in the ED? Acute (and chronic) mental health issues in the ED, to me, represent one of the trickiest and perhaps most poorly dealt with presentations in Emergency Medicine.  I