St.Emlyn’s exists in the city of Virchester and is known for its lively night life. This is great for the emergency department as it attracts a steady supply of junior docs and nurses who want to live and work in a vibrant and incredibly diverse population, the flip side of this is that we sometimes have to deal with the consequences of a 24 hour lifestyle.
CEM7450-Top-tips-for-a-great-trainee-v5-(21.9.13)
If you're an emergency physician practicing in the UK you may be a bit surprised to hear about a trial published this week looking at the use of open reduction and internal fixation of rib fractures, and more specifically flail chests. Surgical management of rib fractures is something that took place 40-60 years ago, but in the modern world it's arguably not routine.
Now, I'm not intending to start another 'shall we investigate for PE debate' here. The fact of the matter is that this patient does not have symptoms that fit into any particular diagnostic box.
httpvh://vimeo.com/71867152
Thanks so much to Chris, Oli and Roger for helping me put together this presentation from SMACC 2013 on wrestling with risk.