Miscommunication and Handover in the ED. St Emlyn’s

Eavesdropping On my last set of night shifts I was reviewing a patient on our observation ward when I overheard the following nursing handover: “Mrs Jones is waiting for ophthalmology to close her eyelid wound.

JC: The Trouble With Tonsils. St.Emlyn’s

Or…. If we’re preaching to the choir, why are they still singing the wrong tune? If you are a up to date, #FOAMed positive practioner, I suspect you already have strong opinions on the matter

JC: I’ll just ask Dr Google..for some PE/ACS investigation advice @ St.Emlyn’s

OK folks, the debates around PE & ACS investigation over the last few years have been fantastic. Not only have they challenged our reliance on protocols, the debates have also asked us to question what

JC. Should we X-ray before manipulating a displaced ankle fracture? St.Emlyn’s

At St.Emlyn’s we recognise that there are a lot of journals out there. Far too many to keep a track of and far too many for one human to read and collate (thereby providing evidence

There’s a vIP in the ED at St.Emlyn’s

The setting – Resus, The ED, St.Emlyn’s, Virchester The event – A major trauma team resuscitation, multiple stabbing to chest and abdo. The patient has arrived and you’re just about to head to CT. My

Ethical dilemmas in Emergency Medicine Part 2

Last week we published our first ‘Ethical dilemmas in Emergency Medicine’ post, complete with a hypothetical scenario that hopefully got you thinking! I was quite humbled by the quality of the responses that came in.

JC: What’s the target temperature for OOHCA cooling. St.Emlyn’s

Many thanks to the twitter FOAMites for alerting us to an online first paper in the NEJM on the use of therapeutic hypothermia post cardiac arrest. If you’ve followed St.Emlyn’s for any time then you

Attitude of Gratitude – Showing Some Love in the ED

There are many things I do which are stereotypically “British”: drinking tea, apologising instinctively (especially when it isn’t my fault), engaging in our national sport (queueing), becoming intensely irritated when other people fail to comply

JC: Lidocaine for paediatric mouth ulcers at St.Emlyn’s

It’s always great to see a new RCT in paediatric emergency medicine as let’s face it there are far too few! PEM remains an area of practice where data is often extrapolated from adult practice

J

Join the ED team. St.Emlyn’s

httpv://vimeo.com/78756619 I have always said that there are no bad careers in medicine, there is a place for everyone and although some people really do get a kick out of being super-specialised (Mrs C is


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