A June 2021 look at the first RECOVERY results for aspirin in hospitalised COVID-19 patients. The review considers the absence of a demonstrated mortality benefit, the balance between bleeding and thrombotic events, and the limits of the early results.
JC: Aspirin is not effective for hospitalised COVID19 patients. St Emlyn’s Read More
Leah Flanagan, Mohammed Hamza and Cian McDermott share ten ways they used digital tools to organise work and learning in 2021. The post covers planning, presentations, collaboration, keeping up with research and limiting distraction, with an emphasis on adapting tools to your own workflow.
Digital Disruption- Leveraging Technology To Stay On Top Of Your Game Read More
A friend’s experience of chest pain prompts this 2021 introduction to spontaneous coronary artery dissection. It explores presentation, diagnosis, management and life after SCAD, highlighting why few conventional cardiovascular risk factors should not obscure this important cause of myocardial infarction.
Spontaneous Coronary Artery Dissection (SCAD) Read More
Sam Fitzsimmons joins a two-part podcast on adults with congenital heart disease in the emergency department. The accompanying notes explore Fontan circulation, Eisenmenger syndrome, transposition of the great arteries and aortic coarctation, focusing on presentations and complications that non-specialists may encounter.
Podcast – Demystifying Adult Congenital Heart Disease in the ED Read More
What should a departmental wellbeing plan prioritise? Iain Beardsell adapts a hierarchy of needs to emergency care, starting with food, water and basic facilities, then considering safety, belonging and meaningful appreciation before the optional extras of wellbeing initiatives.
St Emlyn’s Hierarchy of Wellbeing Read More
Iain and Simon revisit April 2021 on the St Emlyn’s blog, including how prior beliefs influence critical appraisal and the emerging discussion of post-vaccine headache and VITT. The round-up also includes Peter Brindley’s reflections on FOAMed quality and recognition.
Podcast – April 2021 Monthly Round Up Read More
A review of the 2021 anaphylaxis guideline update, linking the underlying physiology with emergency treatment. Iain Beardsell discusses early intramuscular adrenaline, the changing roles of antihistamines and steroids, and the guideline’s approach to observation and discharge after a response to treatment.
Anaphylaxis – A Guideline Update Read More
How can hospitals learn from a major incident while protecting those affected? This May 2021 post introduces the published hospital data from the Manchester Arena bombing, explaining the ethical challenges of reporting identifiable events and the development of a dedicated trauma-registry module.
Manchester Arena Bombing data now published in EMJ. St Emlyn’s Read More
