JC: Tranexamic Acid for Everyone? – St.Emlyn’s

A few months back there was a short twitter conversation between (if I remember rightly) @adamchesters, myself and @karimbrohi about the use tranexamic acid for patients in the prehospital setting. At that time the picture

Cardiology Case 02: ST depression, no rush? St.Emlyn’s

I can’t believe how time flies.  It’s over a month since Cardiology Case 01 and it’s gone by in the blinking of an eye.  This month’s case is inspired by a discussion we had at

Apply Some Pressure..? Traumatic Cardiac Arrest – St.Emlyn’s

What’s my view? Well how am I supposed to know? Write a review Well how objective can I be? I like to wait to see how things turn out If you apply some pressure Mark

Please use less Ketamine – LAT Gel at St.Emlyn’s

  Is this FOAM heresy I ask myself…, someone in the social media world suggesting that we should use LESS Special K. I’ve been reflecting recently on my use of ketamine in the emergency department.

V & A in the ED – blood gases – St.Emlyn’s

“Why are you doing an Arterial Blood Gas on that patient?” I thought it was a decent enough question to put to one of our senior EM trainees in the resus room at StE’s. I,

mushroom poisoning

Where’s the fun in fungi? – St.Emlyn’s

  It’s a bit of a standing joke here at St Emlyn’s that I resolutely live in the Yorkshire countryside, aiming for a self-sufficient existence, yet practice what is very much urban EM. As it

CTR – the link between structure and marking at FCEM

Part 3 on how to write a CTR for the FCEM exam. Linking how you write with the exam structure.

Clinical Director Emergency Medicine

Burnout in the ED: Too tired to sleep, too wired to weep?

A personal account of the pressures of running a busy emergency department. A review of the literature about pressure in emergency medicine. #FOAM

CTR – How to put it together for FCEM.

There’s a big bundle of CTRs (Clinical Topic Review) in my pigeon hole this morning, all freshly printed and pristine ready for marking at the next FCEM exam. I’ve not opened them yet, but since

Little white lies in the resus room – St.Emlyn’s

Pre intubation communication in the resus room for major burns patients. Ethics communication and beliefs. Dilemmas in emergency medicine.

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