A satisfying day in emergency medicine may be the worst day of a patient’s life. Simon Carley explores this tension, asking how enthusiasm for procedures and clinical challenges can coexist with empathy, thoughtful decisions and attention to what the patient needs.
The June 2019 podcast round-up revisits a month of St Emlyn’s articles and recordings. Accompanying links explore clinicians’ psychological wellbeing, traumatic cardiac arrest, the reliability of intraosseous blood samples and Alan Grayson’s discussion of trauma care beyond ATLS.
This 2019 overview of Listeria covers foodborne transmission, groups at higher risk and the range of clinical presentations. It considers investigation and recognition of serious infection, with treatment decisions referred to local microbiology advice and guidance.
Chris Gray explores the team response to major upper gastrointestinal bleeding in this St Emlyn’s Live talk and accompanying article. The focus is on coordinating emergency care with anaesthesia, critical care, the blood bank, endoscopy and interventional radiology.
Emergency Department Management
How can mass-casualty training reflect the resources and challenges of its setting? Dr Rashid Aqeel describes simulation training in Karachi, Pakistan, exploring locally adapted scenarios, multidisciplinary preparation and what emergency teams in different health systems can learn from one another.
Can an intraosseous blood sample provide dependable laboratory results in a critically ill patient? This 2019 appraisal examines a systematic review, highlighting the small amount of relevant patient data and why correlation between samples does not necessarily establish agreement.
Practical perspectives on trauma care and team leadership.
Explore the series →