Category: Critical Care

Critically Ill in PED – the Patient Perspective at #smaccMINI #smaccDUB

  One of my favourite sections of the #smaccMINI workshop at #smaccDUB last year was when my Paediatric ED colleague Roisin McNamara from Dublin and I got the chance to speak a young woman called Eimear. Roisin

An uncomfortable truth: Is Emergency Medicine a failed paradigm? St.Emlyn’s

When I was asked to join a debate at SMACC on whether emergency was a failed paradigm I was instantly agreeable. I love Emergency Medicine, I love the breadth of what we do and I

The future of medical publishing. St.Emlyn’s

  The future of medical publishing is uncertain. In Dublin this year I was delighted to take part in a stage debate with some amazing luminaries from around the world on where we are now

JC: Push or Cut? Traumatic Cardiac Arrest

The management of traumatic cardiac arrest has been a popular topic over the past few years and featured in numerous social media and conferences. We’ve talked about here at St.Emlyn’s too1. Various algorithms exist and

You Snooze, You Lose? #smaccUS The Child with Altered Consciousness

As a part of the #smaccMINI workshop back in Chicago in 2015, I spoke about the approach to the child with an altered conscious level. The podcast is below along with a brief summary of

All the King’s Horses… difficult conversations with children in critical care. St.Emlyn’s.

All the king’s horses and all the king’s men Couldn’t put Humpty together again1. This blog tackles a really challenging topic in our theme around communication and wellbeing2–4. How do we approach difficult conversations with

JC. Pre-hospital therapeutic hypothermia: The RINSE trial. St.Emlyn’s

This week we look at the RINSE trial1, a trial examining the prehospital use of hypothermia in post cardiac arrest patients. Therapeutic hypothermia has had a bit of a rollercoaster ride over the last few

JC: Helmets or masks for NIV. St.Emlyn’s

We use a lot of NIV in Virchester. It’s a great technique that can be started in the emergency department as a supportive therapy or as a bridge to intubation and ICU care. The machines

SMACCDUB – A Trainee’s Perspective. St.Emlyn’s

  Having recently returned to the real world after attending SMACCDUB in Dublin, we thought we should try to articulate some of the things we learnt. Rich: Having only lost my SMACC virginity last year,

Bringing the Outdoor Classroom Indoors – #MedEd at #smaccFORCE #smaccDUB

Before February this year I had no prehospital experience whatsoever – so standing up in front of a crowd at the smacc prehospital workshop #smaccFORCE, I felt like a bit of an impostor. But I


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