Emma Gold describes her work with the African Federation for Emergency Medicine and preparations for AfCEM 2022 in Ghana. She explains how conference access, professional networks and the Support a Delegate programme contribute to emergency care development.
Supporting African emergency care development Read More
Iain and Simon’s August 2022 podcast round-up brings together COVID, calcium and maintaining balance, with the usual St Emlyn’s conversation along the way.
Podcast – August 2022 Monthly Round Up Read More
Does grouping admission decisions improve emergency department flow, or simply shift the queue? This journal club examines a US observational study of batching, exploring the tension between individual clinician productivity, patient boarding and the wider hospital system.
JC: To batch or not to batch? Managing flow in the ED Read More
A 2022 journal club on the FAKT trial of fentanyl during rapid sequence intubation with ketamine and rocuronium. It separates the primary blood-pressure outcome from secondary findings and considers how patient selection and drug timing affect interpretation.
JC: Fentanyl as an adjunct in RSI. Does it affect haemodynamic stability? St Emlyn’s Read More
Can head-up positioning combined with mechanical CPR and an impedance threshold device improve cardiac arrest outcomes? This 2022 appraisal examines an observational comparison, explaining why differences between cohorts and exploratory analyses limit the conclusions it can support.
A 2022 overview of severe traumatic brain injury, centred on preventing secondary injury before and during specialist transfer. Dan Horner discusses tiered management and unresolved questions about osmotherapy, blood-pressure targets and brain tissue oxygen monitoring.
TBI: The Final Frontier… Read More
When emergency departments are crowded, are we describing a risk or harm that is already happening? Simon Carley challenges the language used in patient safety discussions and argues for clearer communication about crowding and its consequences.
Managing harm in the emergency department. St Emlyn’s Read More
How do we protect the parts of emergency medicine that make a career sustainable when services are under constant pressure? This reflection explores teaching, research and professional development, and the role of leaders in preserving what gives colleagues energy and satisfaction.
Maintaining a balance in tough times. St Emlyn’s Read More
