Must stable patients with recent-onset atrial fibrillation undergo immediate cardioversion? This 2019 appraisal compares early cardioversion with a rate-control and delayed approach, examining a non-inferiority trial’s outcomes, spontaneous conversion and the questions it leaves about complications and practical care.
JC: Should we rapidly cardiovert AF in the ED? St Emlyn’s Read More
When exit block leaves patients in the emergency department for many hours, their care needs extend beyond the initial plan. Rich Carden draws on military prolonged field care to offer a checklist covering hygiene, hydration, infection, tubes, medication, analgesia and nutrition.
Prolonged Field Care…in the ED. St Emlyn’s Read More
Appraisal and reflections on the recently published ConSEPT and EcLiPSE trials – what do they mean for the treatment of paediatric status epilepticus?
JC: Enter Sandman – Which Agent as Second Line in Paediatric Status Epilepticus? Read More
Liz Crowe reflects on recovery in the months after a deeply distressing work event. The second part of her personal account explores routine, sleep, support and the effort of returning to everyday life, while distinguishing her experience from treatment for a diagnosed mental illness.
Wellbeing for the broken – Part 2 Read More
Liz Crowe describes the emotional aftermath of a distressing event at work, including fear, vulnerability and uncertainty about continuing in her role. This candid first-person account introduces a two-part reflection, with the second article turning towards recovery and support.
Wellbeing for the broken – Part 1 Read More
Dan Horner reviews outpatient pulmonary embolism care in this article supporting his 2019 RCEM CPD talk. It examines patient selection, follow-up and British Thoracic Society guidance, alongside conflicting evidence about investigating suspected pulmonary embolism in pregnancy.
JC: Pulmonary embolism, ambulatory care and the goddess of the hunt Read More
George Willis discusses aortic emergencies in this recording from the inaugural St Emlyn’s Live conference in 2018. The introduction highlights diagnosis, medical management and pericardial effusion, with video, audio and further reading linked from the post.
Aortic Emergencies with George Willis at #stemlynsLIVE Read More
How does sleep relate to learning? This discussion of Matthew Walker’s book, Why We Sleep, considers revision, shift work, teaching schedules and conference travel, asking how educational habits might better protect opportunities to rest.
We can improve your learning with no effort at all here at St Emlyn’s Read More
