Overconfidence in the ED
If you have ever worked as or with a doctor, you’ve probably encountered something called a multi-source feedback form, or a “360 appraisal”. It is part of the process for […]
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#FOAMed
JC: Platelets for Intracranial Haemorrhage. St.Emlyn’s
The management of stroke is one of those topics that attracts a great deal of controversy in the #FOAMed world, and with good reason. The questions around the use of
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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
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Can we buy time in bleeding trauma. St.Emlyn’s.
Bleeding in trauma has had a lot of press recently. In Europe we have had several international consensus guidelines published on the topic. Unfortunately, these guidelines (published the same year)
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Cardiology Case 05: Detective work
It’s been a while since we shared a cardiology case but here’s a cracker for you. As usual, see our Caveats and Cautions. While these cases are based on our
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An Englishman in South Africa: Robert Lloyd at St.Emlyn’s
The greatest honour of my career thus far is being asked to speak at ICEM 2016 in Cape Town. My talk was titled ‘A UK Trainee’s Lessons From the Western
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JC: Salt or Sugar? Hypertonic saline for head injury at St.Emlyn’s.
‘Why did you give Mannitol?’ asked the Registrar. ‘Hypertonic saline was the standard of care for head injury at St.Elsewhere and I was told it reduced mortality’. OK, so that’s
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Dancing in the purple rain: lessons for clinicians from Prince
This year has been a tough one for the loss of celebrities. We’ve lost some great people. It doesn’t seem two minutes since the world was mourning the great David
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