Can short-term targets distract us from the purpose of healthcare? Craig Ferguson uses finite and infinite game theory to explore the tension between measurable performance and lasting quality, including how targets can distort priorities, consume resources and produce unintended consequences in emergency medicine.
Only a game? Infinite game theory in Emergency Medicine Read More
Does tamsulosin help patients with renal colic pass their stone? Simon Carley reviews a 2018 randomised trial in adults with CT-confirmed stones under 9 mm, examining patient-reported passage, follow-up imaging and subgroup uncertainty. He considers why the findings challenged routine medical expulsive therapy in this ED population.
JC: Tamsulosin and Renal Colic. St Emlyn’s Read More
In part two of his personal PTSD series, Rusty Carroll asks how clinicians might recognise distress in themselves or colleagues. He reflects on changes in sleep, behaviour and emotional responses, and on the difficulty of acknowledging that coping alone may no longer be enough.
Keep walking. PTSD and me part 2. St Emlyn’s Read More
Does the speed or composition of intravenous rehydration affect neurological outcomes in children with DKA? This review examines the 2018 PECARN trial, its four fluid regimens and the limits of its findings. Simon Carley explains why challenging established assumptions does not remove the need for careful fluid management.
JC: Fluid resuscitation in paediatric DKA. St Emlyn’s Read More
What can emergency clinicians learn from an audit of perioperative anaphylaxis? Chris Gray reviews NAP6, focusing on recognition, cardiovascular collapse and reactions associated with antibiotics, muscle relaxants and chlorhexidine. This 2018 discussion considers how findings from anaesthetic practice relate to the emergency department.
St.Emlyn’s takes a NAP. The NAP4 anaesthesia audit. Read More
Preparing for Manchester’s 2018 festival season, this article explores the emergency consequences of MDMA and other recreational drugs, including hyperthermia and hyponatraemia. It connects clinical preparedness with harm reduction and the importance of responding to patients without judgement, rather than focusing only on the substances involved.
Party hard in the UK: Ecstasy and more in #Virchester. St Emlyn’s Read More
This 2018 announcement welcomes Salim Rezaie to the inaugural St Emlyn’s Live conference and the Teaching CoOp course in Manchester. It introduces his work with REBEL EM and previews his planned contribution on resuscitation beyond standard algorithms, alongside the event’s wider teaching programme.
St Emlyn’s LIVE & the Teaching CoOp course: Announcing Salim Rezaie. Read More
How can emergency departments avoid separating a patient’s mental and physical health needs? This 2018 podcast with Kevin Mackway-Jones introduces the APEx course and its joint emergency medicine and psychiatry approach. The accompanying article explores unified assessment, risk and the assumptions that can delay care.
Acute Psychiatric Emergencies in the ED. The APEx course. Read More
