JC: Is surgical fixation of rib fractures ready for a comeback? St.Emlyn’s

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

JC: Triple Rule Out CT – are the rays worth it? St.Emlyn’s

I was glad to see this article published as triple rule out CT for chest pain has been a topic that I’ve heard a little about, but personally it’s not something I use. This troubles

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SMACC 2013: Mike Cadogan on Social Media. St.Emlyn’s

You almost certainly know Mike @sandnsurf , and if you don’t you should. He is a founder of Life in the Fast Lane and the genius behind getting St.Emlyn’s up and running. This talk from

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Wrestling with Risk at SMACC 2013 St.Emlyn’s

Thanks so much to Chris, Oli and Roger for helping me put together this presentation from SMACC 2013 on wrestling with risk. If you’re an ED doc then the summary is…. You don’t make diagnoses

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No Tweeting, Please. Healthcare Conference in Progress

As FOAM grows, tweeting at healthcare conferences is going mainstream.  At the #ICEM2012 conference, Mike Cadogan (@sandnsurf) announced that ICEM 2012 had been the most tweeted about healthcare conference in history.  And things have really

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When FOAM Doesn’t Wash

The following scenario is completely fictional although it is used to represent a real-life incident. All details have been changed.   “Hey – you’ll want to know about this – you’re into that twitter thing,

JC: ED physicians are not Propofol Assassins – St.Emlyn’s

If you’ve never listened to the rant by Cliff Reid on Propofol then you should do so now. It’s a great description of why propofol is a rather ‘courageous’ agent for RSI in the ED

SMACC 2013: Educational Leadership and Subversion. St.Emlyn’s

Chris Nickson asked me to do this talk on Educational Leadership and Subversion based on our work here in the UK. It was great to share our experience here and to reflect on how we

PCI for OOHCA with NSTEMI post ROSC? An acronym too far?

So you’ve done it. In a dazzling display of medical prowess worthy of a medical TV drama you have restored the dead to life! With scrupulous airway management, high quality chest compressions (assisted by some waveform

Taking FCEM – what are the odds on passing? St.Emlyn’s

I was recently reviewing a number of documents relating to outcomes of training for one of my other jobs at St.Emlyn’s. There is a lot of interesting data out there about how well trainees perform


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