Category: toxicology

EuSEM day 1

St.Emlyn’s at #EuSEM18 – Day 1

They said Marvel’s Avengers: Infinity War was the biggest crossover event in history, then along came a joint conference between the Royal College of Emergency Medicine and the European Society For Emergency Medicine. I think

Party hard in the UK: Ecstacy and more in #Virchester. St Emlyn’s

The onset of late spring in the UK marks the start of festival season. Dancing in fields for enjoyment likely goes back to prehistory and pagan fertility (of crops, animals, and humans) rituals. Whilst Morris

Management of paracetamol therapeutic excess in the ED. St.Emlyn’s.

I’m trying hard not to be slightly annoyed with Mr X. I know we are supposed to be empathic and understanding, but somedays there are patients who are just a little tricky to deal with.I

Are you PrEP-d for your Saturday night? St.Emlyn’s

6 Background:I have tried to write this post using non-medical jargon and I’ve not expanded so much on the background medical evidence. I am hoping that this post will be disseminated outside of our usual

Synthetic Cannabinoid

Sugar and Spice…Not All Things Nice

The use of synthetic cannabinoids is on the rise.  They are dangerous, don’t fit a particular toxidrome, and can require emergent intervention.  They are a nasty phenomenon and this article will hopefully show you why.

N2O Laughing Matter

Everyone likes balloons, right?  Some people really like balloons, and more specifically the contents of them.  Having recently moved to East London, I can’t cycle to work and back (only about 15 minutes or so) without

CBRN: An Introduction. St Emlyn’s

yb It is a sad reality that in this day and age the world can be uncertain, volatile and dangerous place.  CBRN (chemical, biological, radioactive, nuclear) threats are real, and as Emergency Physicians it is

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

paracetamol overdose 2012 guidelines

JC: Should we halve the time of acetylcysteine infusions for Paracetamol OD? St.Emlyn’s

The week’s Lancet has a great paper on the management of paracetamol overdose. A subject close to our heart at St.Emlyn’s following the recent changes to UK guidelines that have led far more people in

JC: IV Fluids for alcohol intoxication. St.Emlyn’s

I’m always on the look out for RCTs relevant to emergency medicine and I have an automated search set up in PubMed to bring any to my attention (does everyone do this, or is it


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