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 […]
JC: IN Fentanyl vs Ketamine for analgesia in PED. St Emlyn’s Read More
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
JC: Virtual Reality for Distraction from Paediatric Procedural Pain Read More
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
JC: Should we premedicate for ketamine sedation? St Emlyn’s Read More
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
JC: Intranasal Ketamine vs. Fentanyl for kids. St. Emlyn’s Read More
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
101 Reflective Lessons from a Year with Sydney HEMS. Part Four: More Clinical Read More
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
JC: Pain Scales in the Paediatric ED Read More
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.
Making ED Visits Easier for Children Read More
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
Paediatric Pain and Sedation – Tips to Change Your Practice from #EuSEM15 Read More
