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EM as a career? Yeah, but no……

  I have too many jobs! Amongst other tasks I manage the foundation program for junior docs at my large university teaching hospital. I’m effectively responsible for getting them through the two years of their

Tranexamic acid needs a make over

I was listening to the EMCRIT podcast today. As usual it was absolutely excellent, but on this occasion it was especially superb as Scott Weingart was joined by the wonderful Prof. Tim Coates from Leicester.

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JC: IST-3

So…. We have just covered the following paper in our journal club at Manchester Royal Infirmary. http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(12)60768-5/abstract The benefits and harms of intravenous thrombolysis with recombinant tissue plasminogen activator within 6 h of acute ischaemic

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The Critical Appraisal FCEM exam

If you are planning on being an emergency physician in the UK then you will probably be thinking about trying to get through the FCEM exam. At the current time that means that you are

The Ondansetron question

In your standard ED practice – do you give anti-emetics (specifically ondansetron) to children with gastroenteritis, hoping to improve the tolerance of oral rehydration? This has always been a debated topic, but has recently been given

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Rabies management in the ED.

Interesting article in the Journal of the Royal Army Medical Corps on the management of Rabies. Now, we don’t get a lot of Rabies in Virchester, but the weather is so terrible here lots of

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The wise thirsts for questions, not answers!

The following post displays comments from tweets about speakers at the 14th ICEM in Dublin in June 2012. Some reflect evidence-based medicine, some just personal practice supported by expert opinion only. We post these in order to

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ON POST-EXPOSURE PROPHYLAXIS: a diet PEPSE served on ice

You are on a busy shift in ED when a young man in his twenties presents after having being triaged with a “personal problem” he would not disclose in triage. He has asked to see

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#ICEM2012

Following on from the amazing twitterfest at the International Conference of Emergency Medicine in Dublin I think there will be many emergency physicians updating, revising and expanding their online presence. There is no doubt that

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BestBets – Whole-body CT In trauma patients

This week Simon, Dan and Rick discuss a great BET from Hong Kong. Should we routinely CT our major trauma patients from vertex to symphysis?? We think so, but what’s the evidence. Giles and Scott


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