Iain and Simon revisit January 2018 on the St Emlyn’s podcast. The linked discussions include devastating brain injury, dizziness, clinical reflection, CRYOSTAT-2 and the ADRENAL trial, alongside conference reports and working in Africa. The episode brings together that month’s clinical evidence, education and professional perspectives.
St Emlyn’s January 2018 in review Read More
Stevan Bruijns reflects on working across South African and UK emergency care, challenging assumptions about who teaches and who learns. His account considers the risks of overseas placements, reciprocal learning and practical ways to support colleagues in lower-resource settings, including collaborations that do not require travel.
Is there anything else I need to know? Working in Africa. Read More
Belgium’s 2018 BeSEDiM symposium brought together decision-making, simulation, wellbeing and clinical debate. This report explores hierarchy and feedback in teams, practical toxicology cases and discussions of advanced resuscitation, while reflecting on the growth of emergency medicine and the value of a connected professional community.
Belgian EM at BeSEDiM 2018. Read More
Did hydrocortisone improve outcomes in septic shock in the ADRENAL trial? This 2018 appraisal examines the absence of a demonstrated 90-day mortality benefit alongside secondary findings on shock resolution and time in intensive care. It explores trial design, patient selection and the limits of subgroup interpretation.
JC: The End of the ‘Roid? ADRENAL Read More
Distinguishing peripheral dizziness from posterior circulation stroke can be difficult in the emergency department. This 2018 review discusses bedside assessment, including nystagmus, HINTS, neurological examination and gait. It emphasises the knowledge and practice needed to use these techniques, rather than offering a simple discharge rule.
JC: Can I safely discharge dizzy patients from the ED? Read More
The September 2018 podcast roundup revisits airway management after out-of-hospital cardiac arrest, the Zero Point Survey and pulmonary embolism. Its linked reading also covers neonatal emergencies, equality in emergency medicine and reports from EMS Gathering, ResusTO and EuSEM, bringing together the month’s clinical and professional discussions.
Podcast – September 2018 Monthly Round Up Read More
Chris Gray reports from the 2018 Northern Emergency Medicine conference in Durham. The programme connects end-of-life care, frailty and prehospital developments with workforce roles, burnout and major-incident preparation. Reflections on the Manchester attack underline the importance of understanding both the response plan and support for colleagues.
St.Emlyn’s goes further north – NEM Conference #NEMC18 Read More
How should teams approach apparently devastating brain injury when early prognosis is uncertain? This 2018 article and podcast explore guidance on initial care, conversations with families and the risk of premature treatment limitation. They also consider the practical tensions around specialist transfer, intensive-care capacity and organ donation.
JC: Devastating Brain Injury. Complex decisions in the resus room. St.Emlyn’s Read More
