What happens when advice found through online medical education is challenged after something goes wrong? A fictional scenario opens a discussion about applying FOAM in clinical practice, evaluating trusted online colleagues and explaining that trust to clinicians outside the social-media community.
When FOAM Doesn’t Wash Read More
How safe is propofol sedation when delivered by emergency physicians? This 2013 journal club reviews a single-centre audit of 1,008 cases, distinguishing transient adverse events from lasting harm and considering how training, supervision and patient selection affect the relevance of its findings elsewhere.
JC: ED physicians are not Propofol Assassins – St.Emlyn’s Read More
Simon Carley’s SMACC 2013 talk reflects on the development of St Emlyn’s and educational leadership through social media. The accompanying introduction asks whether FOAM needs a representative organisation and invites discussion about the movement’s future.
SMACC 2013: Educational Leadership and Subversion. St.Emlyn’s Read More
Should patients without ST elevation receive coronary intervention after an out-of-hospital cardiac arrest? This 2013 review explores observational evidence, presenting rhythms, symptoms and ECG findings, while emphasising that associations with survival do not establish a benefit caused by the intervention.
PCI for OOHCA with NSTEMI post ROSC? An acronym too far? Read More
Why were so many trainees struggling to pass FCEM? Writing in 2013, Simon Carley examines pass rates, training pressures and the structure of the examination, using a probability model to question how separate compulsory components affect candidates’ chances of success.
Taking FCEM – what are the odds on passing? St.Emlyn’s Read More
Distraction during a child’s procedure starts well before the procedure itself. Rick Body explores the child’s and parents’ perspectives, clinicians’ emotions, first impressions and preparation, showing how rapport and a personalised distraction plan fit into care in the paediatric emergency department.
Driving children to distraction: Techniques for the PED Read More
This is the panel discussion from smacc 2013 with a great group of FOAMites (and me). The panel discuss where FOAM is, where it’s going and how it might fit
SMACC 2013: A roadmap for #FOAM at St.Emlyn’s Read More
Does prehospital fluid resuscitation improve survival after trauma? This 2013 journal club challenges the interpretation of an observational study, examining the difference between its headline, unadjusted mortality figures and adjusted analysis, alongside selection bias and uncertainty from a small sample.
JC: PROMMT Pre-hospital fluids for trauma – do they improve survival? Read More
