2026 PE Guidelines
Pulmonary embolism (PE) is one of those diagnoses that finds its way into a lot of differential diagnoses. In the era of reasonably easy-but-occasionally-argue-with-radiologist to get CTPAs, the diagnosis has increased. An […]
Evidence Based Medicine
Explore the principles of evidence-based medicine, including critical appraisal, clinical decision-making, and the latest research in emergency and acute care. Our posts help clinicians interpret evidence, apply it to practice, and improve patient outcomes with a scientific approach.
TBS 2026: Best Emergency Medicine Papers
Emergency medicine research rarely provides certainty, but it can guide decisions. At The Big Sick (TBS) conference 2026, we presented papers challenging assumptions around trauma, airway management, resuscitation systems and rare high-stakes decisions. This post reviews the best emergency medicine papers from 2025–2026, focusing on what they mean for clinicians working at the front door.
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JC: Are we overtreating suspected sepsis with broad-spectrum antibiotics?
From St Emlyn’s journal club: are we overtreating sepsis? US study finds 87% received unnecessary or overly broad antibiotics in ED.
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Podcast – Monthly Round Up February 2025 – Skills Fade, Resuscitation Targets and more
In this episode of the St Emlyn’s Podcast, Iain and Simon reflect on IncrEMentuM 2025, skills fade in rare procedures, arterial line placement, and emerging evidence in cardiac arrest and resuscitative hysterotomy. Essential listening for emergency clinicians.
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Podcast – Monthly Round Up December 2024 – Chest trauma, IO access, AI and more
This month’s St Emlyn’s podcast wraps up Season 11 discusses new evidence on chest trauma management, intraosseous access safety, pediatric imaging updates, AI in medicine, toxic alcohol poisoning, and airway management.
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TBS Top papers 2025 (part 1)
We are back at the TBS (The Big Sick) Conference in Zermatt, exploring key research papers that challenge critical care practices. Highlights include arterial blood pressure monitoring, intra-arrest DBP in cardiac arrest, SAPBs for rib fractures, the DanGer shock trial, and double sequential defibrillation timing.
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Podcast – Monthly Round Up November 2024 – Learning culture, chest drains, arterial lines and more
The monthly update podcast from November 2024, including learning culture, chest drains in haemothorax, arterial lines in cardiac arrest and bad behaviour.
Podcast – Likelihood Ratios: Critical Appraisal Nugget 12
Mastering likelihood ratios can transform your diagnostic skills. In this podcast with Rick and Greg, discover how likelihood ratios can enhance decision-making and improve patient care.
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