Tag: CC5

Nil nocere: do no harm reversing warfarin!

A familiar scenario: You are on duty and your standby phone goes off just as you have come back from your coffee break. The ambulance cell informs you that they are bringing in an elderly

VTE masterclass with Dan Horner at #RCEM15

You don’t need me to tell you that VTE is a huge problem. 10 million cases worldwide, a cost to the NHS of £466,000,000 and half a million European deaths every year spell it out.

Guess or Gestalt in Major Trauma at St.Emlyn’s

I was recently fortunate enough to speak at the the Emergency Medicine Educators Conference in Coventry on a subject that continues to interest me, that of gestalt, judgement and clinical decision making. As I get

Is severe chest pain more likely to be a heart attack?

    Have you ever heard this sort of conversation in your ED? Junior ED doc: Can I run my patient by you, please? Senior ED doc: Sure Junior: I  have a 40 year old man with chest

When we are the Diagnostic Test – Gestalt at St Emlyns

There are many reasons why I enjoy being part of the St Emlyn’s team, not least the chance to share ideas and beliefs about EM with some of the most thoughtful physicians I’ve ever met.

What is Gestalt? St.Emlyn’s

If you’re a #FOAMed fan then you will have come across the term Gestalt quite a lot in recent months. Many conversations about clinical decisions hinge around this elusive, slippery and somewhat obscure term. Perhaps

How low can you go? Experiential learning at St.Emlyn’s

Some time ago I was teaching our foundation (most junior) doctors about sepsis with a focus on the interpretation of blood gases. The teaching session ran along the usual lines of normal ranges, basic physiology

Obi Wan’s Guide to Emergency Medicine. Rich Carden at St.Emlyn’s

Ok, so Obi Wan Kenobi, to my knowledge, never actually practiced emergency medicine, although he had some pretty awesome Jedi skills that would work a treat in the ED.  For those of you unfamiliar with

I

I Can’t Get You Out of my Head – Headache at St Emlyns

We’ve all had headaches, but not often severe enough to prompt us to seek help in an Emergency Department. Many patients presenting to the ED with a primary presenting of feature of headache will have

How accurate is clinical judgement for acute coronary syndromes?

This blog post is based on the paper published in the EMJ this week – Body R et al. Can emergency physicians rule in or rule out acute coronary syndromes using clinical judgement? EMJ 2014