What does ‘massive’ pulmonary embolism really tell us about a patient’s risk? In this case-based 2018 review, Dan Horner examines physiology, clot burden, clinical trajectory and bleeding risk, arguing for a fuller assessment and shared decisions rather than reliance on a single blood-pressure threshold.
Pulmonary Embolism – We call it massiiiiiiivve Read More
This preview of the September 2018 World Sepsis Conference considers what a free online meeting can offer. Simon Carley reflects on access, diversity, patient voices and the environmental costs of travel, asking how conferences might share learning more widely while retaining the value of meeting in person.
Psychologist Esther Murray joins the St Emlyn’s podcast to explore moral injury in emergency and prehospital care. The accompanying notes discuss research into medical students’ prehospital experiences and the psychological impact of witnessing traumatic events, while recognising the limits of the small study that prompted the conversation.
Podcast – Moral Injury in Emergency and Pre-hospital care with Esther Murray Read More
Fluids are drugs, with potential benefits and harms. Simon Carley examines a 2018 narrative review of intravenous fluids in critically ill adults, covering fluid choice, shock phases and evolving physiology. He also asks how to read expert reviews critically and remain open to evidence that challenges established practice.
JC: Intravenous fluid therapy in critically ill adults (review). St Emlyn’s Read More
Ahead of SMACC Sydney in March 2019, Simon Carley reflects on the conference’s influence on medical education and the St Emlyn’s team. This archived preview looks at the programme, workshops and community built around FOAMed as SMACC prepared to return to where it began.
SMACC Sydney. Hope to see you there. St Emlyn’s Read More
The July 2018 podcast roundup brings together journal club reviews of adrenaline in cardiac arrest and tamsulosin for renal colic with a guide to paronychia. Its written reading list also includes infinite game theory, a personal account of PTSD and an update on St Emlyn’s teaching events.
Podcast – July 2018 Monthly Round Up Read More
This archived update introduces the programme for the Teaching CoOp course held in Manchester on 10–12 October 2018. It brings together the course information and downloadable brochure prepared for delegates ahead of the event.
The Teaching CoOp update and program: 10-12th October 2018 Read More
The final report from badEMfest 2018 brings together workshops on simulation, major incidents and venomous plants and animals, followed by talks on organ donation, cruise ship medicine and patient safety. Simon Carley and Natalie May reflect on the shared learning and connections that made the gathering memorable.
#badEMfest18 Day 4. Farewell and thank you from St Emlyn’s Read More
