This appraisal examines 2019 guidance on acute lower gastrointestinal bleeding, including risk assessment, investigation and referral. It considers the strength of the supporting evidence and how access to endoscopy and interventional radiology affects the application of recommendations in emergency care.
JC: Lower GI bleeding guidance Read More
Could a resuscitative care unit bring short-term critical care closer to the emergency department? This 2019 review explores the proposed model, staffing and training requirements, its possible fit within UK services and the limitations of early outcome evidence.
JC: The Resuscitative Care Unit. St Emlyn’s Read More
Ashley Liebig draws on her experience with helicopter emergency medical services to discuss psychological performance in resuscitation. This St Emlyn’s Live talk, available as video and audio, focuses on working under pressure when decisions are urgent and information is incomplete.
Psychological performance in the resus room. Ashley Liebig at #stemlynsLIVE Read More
Should severely injured patients receive an early vena cava filter when anticoagulant thromboprophylaxis is initially unsuitable? Dan Horner examines a 2019 randomised trial, weighing its main outcome, subgroup findings and potential harms before considering what it means for trauma care.
Clot’s the Problem? Vena Cava filters in trauma patients. St Emlyn’s Read More
A satisfying day in emergency medicine may be the worst day of a patient’s life. Simon Carley explores this tension, asking how enthusiasm for procedures and clinical challenges can coexist with empathy, thoughtful decisions and attention to what the patient needs.
The great day paradox. St.Emlyn’s Read More
This 2019 overview of Listeria covers foodborne transmission, groups at higher risk and the range of clinical presentations. It considers investigation and recognition of serious infection, with treatment decisions referred to local microbiology advice and guidance.
All you need to know about Listeria. St Emlyn’s. Read More
Chris Gray explores the team response to major upper gastrointestinal bleeding in this St Emlyn’s Live talk and accompanying article. The focus is on coordinating emergency care with anaesthesia, critical care, the blood bank, endoscopy and interventional radiology.
GI Emergencies – Chris Gray at #StEmlynsLIVE Read More
How can mass-casualty training reflect the resources and challenges of its setting? Dr Rashid Aqeel describes simulation training in Karachi, Pakistan, exploring locally adapted scenarios, multidisciplinary preparation and what emergency teams in different health systems can learn from one another.
