SMACC

The Argument for Systemic Thrombolytics in Submassive Pulmonary Embolism. Swami at St.Emlyn’s

Anand Swaminathan revisits his SMACCDub argument for considering thrombolysis in selected patients with submassive pulmonary embolism. This 2017 opinion piece weighs possible functional benefits against major bleeding, emphasising patient selection, shared decisions and the uncertainty in the evidence available then.

The Argument for Systemic Thrombolytics in Submassive Pulmonary Embolism. Swami at St.Emlyn’s Read More

An uncomfortable truth: Is Emergency Medicine a failed paradigm? St.Emlyn’s

Can emergency medicine remain a broad specialty as clinical practice becomes more specialised? Reflecting on his SMACCDub debate with Scott Weingart, Simon Carley examines generalism, critical-care skills and the risk that subspecialisation fragments the team’s ability to care for undifferentiated patients.

An uncomfortable truth: Is Emergency Medicine a failed paradigm? St.Emlyn’s Read More

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