How can emergency departments avoid separating a patient’s mental and physical health needs? This 2018 podcast with Kevin Mackway-Jones introduces the APEx course and its joint emergency medicine and psychiatry approach. The accompanying article explores unified assessment, risk and the assumptions that can delay care.
Simon and Iain revisit the St Emlyn’s blog from April 2018. The episode’s written guide links trauma research, paediatric CT, anticoagulation complications and diagnostic uncertainty, alongside clinician wellbeing, team coaching and reflections from badEMfest in South Africa.
Emergency Department Management
This May 2018 privacy update explains St Emlyn’s approach as GDPR took effect, covering email subscriptions, analytics, cookies and requests to delete personal data. It records the site’s arrangements at that time and provides a contact for readers with privacy concerns.
Does tranexamic acid improve recovery after spontaneous intracerebral haemorrhage? This 2018 appraisal of TICH-2 examines death and dependence, haematoma expansion and the uncertainty around the results. It explores why a possible effect on bleeding does not necessarily establish a meaningful improvement in patients’ longer-term outcomes.
Does a bougie improve first-pass success during emergency intubation? Simon Carley reviews a 2018 randomised comparison with a tube and stylet, examining the results alongside operator experience, laryngoscope choice and local practice. He asks how confidently a single US centre’s findings can be applied elsewhere.
More oxygen is not necessarily better. This 2018 journal club examines a systematic review comparing liberal and conservative oxygen strategies in acutely ill adults. Simon Carley considers mortality findings, the size of the absolute effect and why even a meta-analysis needs careful critical appraisal.
Practical perspectives on trauma care and team leadership.
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