Tag: PAP15

JC: IN Fentanyl vs Ketamine for analgesia in PED. St Emlyn’s

Last year we reviewed a pilot RCT comparing IN Fentanyl vs IN Ketamine in kids​1,2​. We concluded that they were probably similar in analgesic effect but that Ketamine had a higher adverse event rate. Here

JC: Virtual Reality for Distraction from Paediatric Procedural Pain

Ed – At the SMACC conference our good friend and simulation guru Jesse Spurr ​1​ talked about virtual reality as a future technique for education and for therapy. It’s an area that we’ve not really

JC: Should we premedicate for ketamine sedation? St Emlyn’s

Here in Virchester we believe that we were early pioneers of conscious sedation in the UK. It’s something we adopted as a routine procedure back in the 90s, in both adults and children, and so

JC: Intranasal Ketamine vs. Fentanyl for kids. St. Emlyn’s

Here in Virchester we place great emphasis on relieving suffering in our patients. Part of doing that involves reducing the pain many of our patients experience. This seems particulaly important in our paediatric population where

101 Reflective Lessons from a Year with Sydney HEMS. Part Four: More Clinical

This post, detailing my reflections on clinical retrieval medicine, is the fourth in a series recording my reflections on the twelve months I spent working for Sydney HEMS1 in prehospital and retrieval medicine. The first post

JC: Pain Scales in the Paediatric ED

I will confess a geeky interest in paediatric pain management (I’ve spoken and written about it before at St Emlyns), so when I spotted this paper published online ahead of print a few months ago

Making ED Visits Easier for Children

Having attended the ICEM2016 conference in Cape Town a few days ago, I came across a new concept championed by PEM physicians from all over the world: the Paediatric Marketplace. If you do not know

Paediatric Pain and Sedation – Tips to Change Your Practice from #EuSEM15

Flicking through the tracks at EuSEM15 you might notice that there are several presentations – including mine – devoted to the management of pain and procedural sedation in children. And you might wonder why this

Intranasal Ketamine: Mum “Nose” Best at St Emlyn’s

  St Emlyn’s in Virchester is a place full of talent, only a small cross-section of which is showcased here. Now and then, the opportunity to highlight the work of other Emergency Physicians arises. Such

If it ain’t broke… Etomidate for paediatric sedation.

Critical appraisal and review of Etomidate as a drug for procedural sedation in the pediatric emergency department.


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