Simon Carley reviews the 2013 ACC/AHA STEMI guidance from an emergency department perspective. The discussion focuses on access to PCI, cardiac arrest and cardiogenic shock, and the practical challenge of transferring critically ill patients safely to the catheter laboratory.
This April 2013 announcement invited readers to an evening with emergency physician and FOAM educator Joe Lex in Manchester. Natalie May introduces his contribution to open-access education and shares the enthusiasm generated by his talk at SMACC 2013.
Should doctors introduce themselves by their first name or their title? Simon Carley reflects on how introductions and hierarchy shape communication with patients and colleagues, and why making it easier for junior staff to speak up matters.
An elevated troponin result does not tell the whole clinical story. In this 2013 discussion, Rick Body explores high-sensitivity assays, chronic elevations and type 2 myocardial infarction, explaining why serial results need to be interpreted alongside the patient's presentation.
What can an emergency department learn from a helicopter retrieval team? Following a 2013 visit to Sydney HEMS, Simon Carley reflects on multidisciplinary briefings, rehearsal, active listening at handover and shared leadership across challenging pre-hospital environments.
How can emergency clinicians better support patients with life-limiting illness and their families? Natalie May reflects on the shift from resuscitation to palliative care and introduces resources on communication, end-of-life conversations and palliative emergencies.
Practical perspectives on trauma care and team leadership.
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