Dan Horner reviews outpatient pulmonary embolism care in this article supporting his 2019 RCEM CPD talk. It examines patient selection, follow-up and British Thoracic Society guidance, alongside conflicting evidence about investigating suspected pulmonary embolism in pregnancy.
JC: Pulmonary embolism, ambulatory care and the goddess of the hunt Read More
George Willis discusses aortic emergencies in this recording from the inaugural St Emlyn’s Live conference in 2018. The introduction highlights diagnosis, medical management and pericardial effusion, with video, audio and further reading linked from the post.
Aortic Emergencies with George Willis at #stemlynsLIVE Read More
What makes a clinical handover work when a critically ill patient arrives? Drawing on a 2018 Intensive Care Society presentation, this post explores preparation, team attention, structured communication and follow-up. It offers adaptable principles for sharing essential information while recognising that urgent treatment sometimes takes priority.
Handover. Process, practice and controversy. #ICSSOA2018. St Emlyn’s Read More
Salim Rezaie’s St Emlyn’s Live 2018 presentation explores cognitive offloading during cardiac arrest care. The accompanying notes discuss CPR, vascular access, airway management, medication and PEA assessment, explicitly bringing together published evidence and ideas for consideration. This is a historical presentation rather than an updated resuscitation guideline.
Beyond A(C)LS. Salim Rezaie at #stemlynsLIVE Read More
Simon Carley sets out five approaches to resuscitation practice that require no new equipment: preparation with the Zero Point Survey, regular team updates, separating immediate care from strategic thinking, peer observation and hot debriefs. This St Emlyn’s Live 2018 talk focuses on how teams work together.
#stemlynsLIVE: Five free strategies to improve your resuscitation practice. St Emlyn’s Read More
Resuscitation begins before the patient arrives. Simon Carley introduces the Zero Point Survey and its focus on the clinician, team and environment, explaining how shared preparation and mental models can be practised in simulation. He also reflects on role allocation and integrating the approach into everyday resuscitation training.
JC: The Zero Point Survey. Optimising resuscitation teams in the ED. St Emlyn’s Read More
What does ‘massive’ pulmonary embolism really tell us about a patient’s risk? In this case-based 2018 review, Dan Horner examines physiology, clot burden, clinical trajectory and bleeding risk, arguing for a fuller assessment and shared decisions rather than reliance on a single blood-pressure threshold.
Pulmonary Embolism – We call it massiiiiiiivve Read More
What stays with clinicians after a lesson learned the hard way? Natalie May reflects on an EMSA 2018 session covering handover, prehospital priorities, career values and preparation. Her own contribution examines implicit bias, privilege and the need to understand a patient’s perspective rather than assume it matches our own.
Lessons Learned at #EMSA18 Read More
