Can newer CT scanners reliably exclude subarachnoid haemorrhage beyond six hours? This 2021 appraisal examines a retrospective study, focusing on patient selection, uncertain symptom timings and why cumulative sensitivity figures may not answer the emergency clinician’s question.
Are CT scanners getting more sensitive at detecting Subarachnoid haemorrhage? Read More
A 2021 review of pulse oximetry accuracy in patients assessed for ECMO. It examines differences in unrecognised hypoxaemia between reported racial groups, the limitations of retrospective data and why skin pigmentation needs more precise investigation than broad racial classifications allow.
JC: More on pulse oximetry and racial bias. St Emlyn’s Read More
Revisiting his debate with Scott Weingart, Simon Carley asks whether emergency medicine can continue to be everything to everyone. This 2021 reflection considers the specialty’s core work, increasing subspecialisation and the continuing need for generalists in less-supported settings.
CODA: Is Emergency Medicine a failed paradigm? Revisited with St Emlyn’s Read More
Iain and Simon revisit October 2021 on the St Emlyn’s blog and podcast. The episode notes point to CT coronary angiography, cauda equina assessment, the REST trial, paediatric conference highlights and a cardiac-output metaphor for patient flow.
Podcast – October 2021 Monthly Round Up Read More
Could a 14F pigtail catheter replace a larger chest drain for traumatic haemothorax? This 2021 appraisal examines a multicentre randomised trial, weighing drainage failure, patient discomfort and statistical uncertainty, with particular attention to the exclusion of patients needing immediate emergency drainage.
JC: Can we use smaller pigtail drains in traumatic haemothorax? Read More
Dan Horner’s Difficult Airway Society 2021 talk examines emergency airway management through three priorities: cardiovascular stability, oxygenation and first-pass success. The transcript connects the evidence with preparation, multidisciplinary teamwork and local systems that support safer care across departments.
Learning from airway management in the ED: UK Perspective Read More
Why do stories make such powerful teaching tools? Revisiting his EuSEM 2021 talk, Simon Carley explores how patient narratives engage learners and connect clinical experience with evidence, with an animation and links to his fuller discussion of storytelling.
#EuSEM21 The power of stories in Emergency medicine education revisited. Read More
Can cardiac output help explain patient flow? This article uses preload, contractility and afterload as a metaphor for arrivals, staff and resources, and exit block, showing why changes to one part of urgent care must account for the whole system.
Patient Flow in Urgent Care Read More
