What can elite cycling and Formula One teach an emergency department about improvement? This reflection explores marginal gains: finding small weaknesses in everyday processes and addressing them consistently, rather than relying entirely on the next dramatic advance in resuscitation.
Marginal gains, Matt Parker, F1 and the ED. St.Emlyn’s Read More
An initial response to the 2014 ProCESS trial of protocolised sepsis care. The post asks how changing background care, differences between patient populations and widespread adoption of resuscitation principles might affect the interpretation of a trial that challenged early goal-directed therapy.
JC: Is Early Goal Directed Therapy dead? St.Emlyn’s Read More
How do the many tools for investigating and treating pulmonary embolism fit into one coherent pathway? This 2014 discussion explores the challenge of combining diagnostic rules, risk assessment and outpatient care, as work began on British Thoracic Society guidance for ambulatory management.
Ambulatory PE: A walk in the park? St.Emlyn’s Read More
An invitation from 2014 to bring clinical questions to the SMACC Gold evidence-based medicine workshop. The post introduces three-part questions and links to resources on searching, critical appraisal, statistics and using journal clubs to turn questions into shared evidence summaries.
Time to place your #SMACCGold #SMACCBETS at the St.Emlyn’s Casino Read More
Pain relief alone may not address what brings distress to patients in the emergency department. This 2014 research discussion explores suffering beyond pain and introduces EPICC: attending to emotional distress, physical symptoms, information, basic care and closure, informed by patients’ accounts of what they needed.
When pain relief is not enough in the Emergency Department. St.Emlyn’s Read More
An illustrative chest-pain case challenges readers to interpret two ECGs alongside an early troponin result. This 2014 teaching post explores subtle high lateral STEMI, reciprocal changes and the risk of letting an initially unremarkable blood test distract from concerning ECG findings.
Cardiology Case 03: Are you missing the STEMI? St. Emlyn’s Read More
A look back at preparations for the St Emlyn’s team’s appearance in SimWars at SMACC Gold 2014. The post introduces the team’s trailer for the live resuscitation competition and links to other contributions, including a James Bond-themed version.
SimWars SMACCGold the trailer with St.Emlyn’s Read More
An introduction to the evidence-based medicine workshop at SMACC Gold 2014, led by St Emlyn’s and Critical Care Reviews. It sets out an approach to asking useful questions, finding relevant research and translating evidence into care, with a self-assessment quiz on everyday EBM habits.
SMACCGold EBM workshop with St.Emlyns and Critical Care Reviews Read More
