Could bedside ultrasound improve the assessment of patients with acute breathlessness? This 2014 journal club examines a randomised trial, separating improved diagnostic accuracy from evidence of better patient outcomes and considering how patient selection and reliance on a single ultrasound operator limit the findings.
JC: POCUS for the breathless patient. St.Emlyn’s Read More
An archery metaphor opens a 2014 discussion about targets in emergency medicine. The accompanying podcast asks whether targets inevitably distort care or can be used to improve services, with reflections on short-stay medicine, departmental pressures and keeping the interests of patients and staff in view.
The Archers of the Emergency Department. St.Emlyn’s Read More
Rick Body discusses a 2014 study of emergency physicians’ judgement in suspected acute coronary syndromes. He explores the limitations of clinical judgement alone, the potential contribution of ECG and troponin results, and why promising findings still required validation before being used as a discharge strategy.
How accurate is clinical judgement for acute coronary syndromes? Read More
How should a department prepare for the rare child who needs massive transfusion after trauma? This 2014 journal club examines a small retrospective series, discussing coagulopathy, the limitations of sparse evidence and the importance of planning, shared protocols and simulation for infrequent but time-critical events.
JC: Paediatric massive transfusion. St.Emlyn’s Read More
A 2014 podcast introduction on trauma team leadership and the challenge of moving patients from ED arrival to CT within 30 minutes. The post places that goal alongside UK trauma standards of the time and includes a trauma transfer checklist to support the discussion.
Podcast – Trauma Team Leadership – Getting to CT in 30 minutes. Read More
A 2014 video introduction to emergency medicine training in the East Midlands. This short post celebrates the variety of work and training opportunities in the specialty, sharing the film as an invitation to consider a career in UK emergency medicine.
EM training in the East Midlands. St.Emlyn’s Read More
What did the 2014 GMC training survey reveal about emergency medicine? This analysis compares satisfaction across trainee groups, explores the limits of rankings and small samples, and asks how departments can use feedback to improve induction, teaching and working conditions rather than simply defend their scores.
Are you feeling satisfied? The GMC survey and EM. Read More
An early announcement of the St Emlyn’s podcast from 2014. The post introduces its initial focus on diagnosis, plans for clinical and management discussions, and contributions from the wider team, capturing the beginnings of the project alongside the blog.
St.Emlyn’s the podcast Read More
