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 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
More oxygen is not necessarily better. This 2018 journal club examines a systematic review comparing liberal and conservative oxygen strategies in acutely ill adults. Simon Carley considers mortality findings, the size of the absolute effect and why even a meta-analysis needs careful critical appraisal.
JC: Oxygen in the Acutely Unwell Patient. St Emlyn’s Read More
This 2016 companion to the upper gastrointestinal bleeding podcast covers recognition, resuscitation, transfusion, risk assessment and referral for endoscopy. It also discusses variceal bleeding and rescue measures, reflecting the guidance and unresolved research questions available at the time.
Upper Gastro Intestinal Bleeding at St.Emlyn’s. Read More
What happens to circulation when we give intravenous fluid, and how can we tell whether it has helped? This 2015 physiology review connects Frank–Starling and Guyton models with fluid responsiveness, examining the limitations of routine observations and the role of cardiac output assessment.
Maestrini, Frank, Starling, Guyton…….and Fluids at St.Emlyn’s Read More
The 2015 SPLIT trial compared saline with Plasma-Lyte in intensive care patients. This appraisal explains its crossover design and kidney-injury outcomes, then considers statistical power, fluid given before ICU admission and the limits of applying the results to emergency department patients or other balanced solutions.
SPLIT trial published. Saline or Plasmalyte on the ICU? St.Emlyn’s Read More
A critical response to NICE’s 2014 acute heart failure guidance, questioning whether varied presentations can be treated as one condition. The author examines the evidence behind diuretics, nitrates and non-invasive ventilation, and argues for clearer definitions and research that better reflects the sickest emergency department patients.
When rapid CT is available, what does FAST ultrasound add to trauma care? In this 2013 opinion piece, Simon Carley questions the place of FAST in basic ultrasound training, linking curriculum choices to patient benefit while acknowledging settings where CT is less accessible.
On a FAST track to nowhere at St.Emlyn’s Read More
