Last year we reviewed a pilot RCT comparing IN Fentanyl vs IN Ketamine in kids1,2. 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 …
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. …
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 »
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 …
Intranasal Ketamine: Mum “Nose” Best at St Emlyn’s Read More »
Critical appraisal and review of Etomidate as a drug for procedural sedation in the pediatric emergency department.