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More than a Spot Check?: Meningococcal Septicaemia at St.Emlyn’s

More than a Spot Check – What does the NICE Quality Standard for bacterial meningitis and meningococcal septicemia in children and young people mean for the Emergency Dept? Who’s that now? If you work in

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Are they laughing at me? Aortic dissection in the ED.

As the world becomes smaller and our populations more multicultural (Yes I am a “Lefty” Mr Burley)… so communication in our emergency departments becomes even more crucial. Last week whilst working in the UK, I

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JC: Croup: Riding the Dex Express

Sooooo….this paper turned up at JC last week (thanks to Nicola P) and whilst I’m not sure that it meets all three of our criteria for a top JC paper it is relevant as a

JC: Journals are dead: Long live the Journal Club

“The report of my death was an exaggeration” Mark Twain Just a quicky and a link out to our guide on Emergency Medicine Journal Clubs. Despite the rumours of the imminent demise of all medical

Kiddy pills, syrup, compliance and cost: Paediatric medications at St.Emlyn’s

Taste influence compliance in paediatric prescribing. Important to test taste in the ED.

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Through the Looking Glass: Chirocaine vs Bupivicaine. St.Emlyn’s

I’ve seen a few paediatric femoral shaft fractures in the last couple of years, and while they always make my spidey-sense tingle for non-accidental injury, most (even the spiral fractures) have been explained away by

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Glasgow Blatchford Score 2 – The case for an RCT!

Thanks for a great post, Gareth.  If you’ve landed here without reading that post, hit the link – this is a follow on, a ‘deep dive’ in the words of Smart EM – to be taken

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Glasgow Scores… Not just for coma any more!

Quick post… NICE have recently published new guidance on Upper GI bleeding. It is surprisingly sensible. I was pleased with their position on PPI’s for upper GI bleeding (not before endoscopy…). The other point that I was happy to

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The Olympics and the ED physician

It’s a great week to be British. Bradley Wiggins wins the tour and we are just a few short days away from the greatest show on Earth – the Olympics I mean. (Ed – don’t

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JC: ADAPT my management of low risk chest pain? I’m not sure I will…….

Another Friday another JC in Virchester. Lots of chin stroking and pontification on this one. We looked at the ADAPT trial by Martin Than and colleagues. Essentially they assessed the diagnostic utility of an accelerated


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