The July 2018 podcast roundup brings together journal club reviews of adrenaline in cardiac arrest and tamsulosin for renal colic with a guide to paronychia. Its written reading list also includes infinite game theory, a personal account of PTSD and an update on St Emlyn’s teaching events.
Could a supplement explain a troponin result that does not fit the clinical picture? Rick Body’s 2018 review explores biotin interference with some troponin assays, the importance of knowing the local test and why supplement histories and discussion with the laboratory can matter.
Conference ReportsHuman Factors
What stays with clinicians after a lesson learned the hard way? Natalie May reflects on an EMSA 2018 session covering handover, prehospital priorities, career values and preparation. Her own contribution examines implicit bias, privilege and the need to understand a patient’s perspective rather than assume it matches our own.
Natalie May revisits paronychia in the emergency department, from nail-fold anatomy and acute infection to drainage, antibiotics and follow-up. This 2018 review also distinguishes chronic paronychia, herpetic whitlow and more serious mimics, while acknowledging the limited evidence behind some familiar management approaches.
Conference ReportsPersonal Development
This archived update introduces the programme for the Teaching CoOp course held in Manchester on 10–12 October 2018. It brings together the course information and downloadable brochure prepared for delegates ahead of the event.
The 2018 PARAMEDIC-2 trial challenged assumptions about adrenaline in cardiac arrest. Simon Carley examines the distinction between improved survival and favourable neurological outcomes, the trial’s patient selection and the competing arguments about practice, stressing why the results need more than a simple yes-or-no interpretation.
Practical perspectives on trauma care and team leadership.
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