Big Shock…..Do we ❤ POCUS?
‘Red Standby 4 mins’ tannoys the nurse in charge. ‘It’s a 70yr old male BP 68/49, pulse 120, GCS 14/15, O2 sats 98% on 15L NRB, temperature 37.5°C’ you are reliably informed by a colleague. What goes through your mind …
Preventing mid-life spontaneity becoming a crisis – SCAD as a serious cause of chest pain. St Emlyn’s
It’s the call that no healthcare professional wants to get… “Hi Mate. Sorry to bother you, it’s just Lucy has got some chest pain and doesn’t look great. Do you think I should take her …
Hypocalcaemia, Trauma and Major Transfusion. St Emlyn’s
I’m writing this blog post after listening to the ever excellent Scott Weingart on the EMCrit podcast in discussion with the authors of this paper, to which I highly recommend you listen. Why bother to …
Demystifying Adult Congenital Heart Disease in the ED – The Podcast from St Emlyn’s
This blog post accompanies a two part podcast series discussing Adult Congenital Heart Disease (ACHD) and how these patients may present to the Emergency Department (ED). Dr Sam Fitzsimmons, our guest on the podcast, is …
St Emlyn’s Hierarchy of Wellbeing
Wellbeing is a very ‘trendy’ word in Medicine and seems to be the focus of many educational sessions (or even days), with some departments forming ‘Wellbeing Working Groups’. However, in this post please don’t worry …
April podcast round up: St Emlyn’s
Our regular round up of the best of the blog from April 2021. Not as many posts as usual this month as we were busy with the RCEM CPD conference, but really pleased to get …
Anaphylaxis – A Guideline Update
Although this post is mainly about the new Anaphylaxis Guidelines published recently, please bear with me while we get a little nerdy with some physiology first… For anyone starting out in Emergency Care, diagnosing and …
Manchester Arena Bombing data now published in EMJ. St Emlyn’s
Next month we will mark the fourth anniversary of the Manchester Arena Bombing on the 22nd May. As you will remember Salman Ramadan Abedi detonated an improvised device in the foyer of an Ariana Grande …
Bayes and Belief: How pre-review belief influences critical appraisal. St Emlyn’s
I’ve been reflecting on why there is disagreement about how influential new evidence is to clinical practice in the last year or so. COVID-19 has shown that the thresholds for what we believe and when …
March 2021 Podcast Round Up (episode 187). St Emlyn’s
A discussion about all the latest from the St Emlyn’s blog, including a hot off the press article about vaccine induced thrombocytopenic thrombosis and the new FRCEM revision guide. Simon and Iain also talk about the latest results from …
Post-vaccine headache in the Emergency Department: what you need to know. St Emlyn’s
I am sure you all saw the recent MHRA press release and guidance, discussing the issue of a possible link between the AstraZeneca COVID19 vaccine and a rare type of thrombotic condition of Vaccine induced …