Category: Clinical Guidelines

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Sepsis 2015: EGDT without the “G”?

  Sepsis has been a big topic of research over the years (understatement), and the last 18 months have seen the publication of data that has made us, once again, rethink how we approach these

Opiate Overdose in the ED. St.Emlyn’s

Listen to the podcast on the management of Opiate OD in the ED by clicking on the link below. Opiate overdose is a common presentation to the ED. It has a significant mortality in the

Save Yourself Earache – Antibiotics and Otitis Media in the ED

When I was a medical student a friend of mine completed a special study module in ENT which involved a case-based, evidence-based essay on a clinical topic of his choice. He chose acute otitis media.

New NICE high sensitivity troponin guidance: 3 hours and done?

The National Institute for Health and Care Excellence (NICE) from the UK has just published new recommendations for the use of high sensitivity troponin to rule out NSTEMI in the Emergency Department.  You can find

Imaging in Paediatric Trauma – Guide to the RCR Guidelines. St.Emlyn’s

You’ve probably already seen that the Royal College of Radiologists this week published CEM-approved guidelines for imaging in paediatric trauma. The document itself is open access, isn’t actually that long and to the authors’ credit

All Shook Up – Diffuse Axonal Injury with John Hell

Regular readers will be aware that Virchester is primarily based in the heartland of the industrial North of England, but in an audacious merger they joined forces with one the country’s major teaching hospitals in

I

I Can’t Get You Out of my Head – Headache at St Emlyns

We’ve all had headaches, but not often severe enough to prompt us to seek help in an Emergency Department. Many patients presenting to the ED with a primary presenting of feature of headache will have

JC: Paediatric massive transfusion. St.Emlyn’s

I am lucky enough to work in both paediatric and adult trauma centres in Virchester. I think this is a good mix as really nasty paediatric trauma is rare but adult trauma is not. This

JC: Is Early Goal Directed Therapy dead? St.Emlyn’s

 Gosh, hardly a day goes by in the world of FOAMed without another tweet alerting me to the wonders of research. Today is no exception and despite being here at SMACCGold, needing to go for

Ambulatory PE: A walk in the park? St.Emlyn’s

  What’s your weapon of choice then??? There have been a lot of developments within the last 10 years regarding our clinical approach to the patient with suspected pulmonary embolism. Arguably, there has been a

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