Simon and Iain revisit the St Emlyn’s blog from April 2018. The episode’s written guide links trauma research, paediatric CT, anticoagulation complications and diagnostic uncertainty, alongside clinician wellbeing, team coaching and reflections from badEMfest in South Africa.
Podcast – April 2018 Monthly Round Up Read More
Does tranexamic acid improve recovery after spontaneous intracerebral haemorrhage? This 2018 appraisal of TICH-2 examines death and dependence, haematoma expansion and the uncertainty around the results. It explores why a possible effect on bleeding does not necessarily establish a meaningful improvement in patients’ longer-term outcomes.
JC: TICH TICH BOOM? TXA in ICH. St Emlyn’s Read More
Does a bougie improve first-pass success during emergency intubation? Simon Carley reviews a 2018 randomised comparison with a tube and stylet, examining the results alongside operator experience, laryngoscope choice and local practice. He asks how confidently a single US centre’s findings can be applied elsewhere.
JC: Don’t blame it on the Bougie. St Emlyn’s Read More
More oxygen is not necessarily better. This 2018 journal club examines a systematic review comparing liberal and conservative oxygen strategies in acutely ill adults. Simon Carley considers mortality findings, the size of the absolute effect and why even a meta-analysis needs careful critical appraisal.
JC: Oxygen in the Acutely Unwell Patient. St Emlyn’s Read More
Stevan Bruijns offers a personal perspective on codependency in emergency care, exploring overcommitment, conflict and the roles of victim, rescuer and persecutor. This deliberately challenging reflection asks how clinicians might recognise unhelpful relationship patterns and make space for their own wellbeing.
Codependency and the Emergency Clinician Read More
When does presumed alcohol intoxication conceal something more serious? Natalie May reviews two observational studies of altered consciousness, including patients without detectable alcohol and those with coexisting critical illness. The discussion explores diagnostic bias, the limits of alcohol testing and the importance of looking beyond the initial label.
This introduction to St Emlyn’s 2018 wellbeing e-book brings together reflections on working in emergency and acute care. Edited by Simon Carley and Laura Howard, the collection draws on the team’s experiences of pressure, fatigue and balancing professional and personal lives, with self-care at its centre.
The Resuscitationist’s Guide to Health and Wellbeing. A St Emlyn’s e-book. Read More
Should police transport patients with penetrating trauma when an ambulance is unavailable? This 2018 review explores Philadelphia’s experience, weighing speed and access against the absence of care en route, unpredictable arrivals and wider trauma-system risks. It considers why coordination between police, EMS and hospitals matters.
JC: “To Protect and Serve…and Drop Off”. Penetrating Trauma in Philadelphia. St Emlyn’s Read More
