Bradycardia in the trauma patient can be a perilous sign. One might observe a typical course of events in which a bleeding trauma patient progresses through the compensatory mechanisms in response to shock. It is a scary privilege to witness …
We asked each of the St Emlyn’s team for their reflections on 2021. We hope you have enjoyed the blog and podcast his year. Thank you, as ever, for all your support. With all best wishes for a happy, healthy, …
Editor: This is a guest post by Simon Horne. It is likely one of the last posts from Virchester before the festive season properly commences. Take care and stay safe. Happy holidays everyone! Three jobs, same problem I consider myself …
Iain is flying solo this month, with discussion about narrative story tellling, airway management in the ED and using pigtail catheters in management of haemothorax. We hope all you all have a very happy Christmas and chance over the festive …
Our regular round up of the October 2021 content from the blog and podcast at St Emlyn’s with Iain and Simon.
Back in 2016 we published a blog on chest drains and chest aspiration, in which we argued that the dogma of putting in huge drains for traumatic haemothoraces should be questioned. The dogma of using …
This is the transcript for an invited talk at the recent Difficult Airway Society (DAS) 2021 virtual conference. It was lovely to be invited and great of the organisers to create a multidisciplinary opportunity for …
This week I was lucky enough to attend the European Society of Emergency Medicine conference in Lisbon in person. It has been a wonderful experience to once again reconnect with people face to face. Since …
Flow through the urgent care setting, such as an emergency department (ED) is complex. There are a multitude of factors that affect flow through an urgent care setting. Systems research has shown that it is …
This post follows my notes from Day 1 of the Virtual Colloquium – 14th Annual Update in Paediatric Emergencies. Day 2 was another mixed bag of talks, from paediatric analgesia and sedation, to the philosophy …
The diagnosis of cauda equina in the emergency department is complex and has the potential for significant patient harm if we get it wrong. Linda Dykes put together an excellent infographic on this back in …
It’s been a long time since I’ve been at a conference, either in-person or virtually. Something that was once a regular part of my professional life has, like so many things, become a distant memory. …
Some years ago I remember speaking to a rather well known intensivist who was advocating for the extracorporeal removal of CO2 in ICU patients. His logic was that in patients with hypoxic lung failure we …
Computed Coronary Angiography (CTCA) has been advocated as a useful adjunct in the investigation of acute coronary syndromes (ACS) in the ED. Although we’ve made huge progress in the diagnosis of ACS through the use …
