stemlyns
St.Emlyn's
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Choosing with Intention. Liz Crowe
I've already used some of the tips in this blog. Dr Liz Crowe explains how choosing with intention can help personal work flow and management. This blog will change the way you choose and communicate your intentions. #FOAMed @stemlyns
What you don’t do, determines what you can do
Tim Ferris
One of the most powerful personal lessons I have learned in recent years is every time I say YES to something I am saying NO to something else. Equally, every time I say NO to something, I am saying YES to something else.
It seems so ridiculously logical and easy to do, and yet it is not.
Within the busyness of life, it is very easy to…
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Top papers podcast 2023/24. Part 2. St Emlyn's
Part 2 of our podcast on top papers from 2023/24 with @EMManchester and @docb #FOAMed @stemlyns
This month we have two podcasts covering our recent posts on top 10 resuscitation papers. This blog covers the haemorrhage and cardiac papers. Part one was out earlier in the week. You can read the links to the papers on the TBS link below.
Here’s the podcast
https://www.stemlynsblog.org/top-resus-papers-for-tbs-st-emlyns/
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Simon Carley, “Top resus papers for TBS. St Emlyn’s,”…
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Top papers podcast 2023/24. St Emlyn's
Top papers podcast 2023/24. St Emlyn's. Our edited podcast covering recent Airway papers. #FOAMed @stemlyns with @emmanchester & @docib
This month we hacve two podcasts covering our recent posts on top 10 resuscitation papers. This blog covers the first 5 papers. Part 2 will be out later in the week. You can read the links to the papers on the TBS link below.
Here’s the podcast
https://www.stemlynsblog.org/top-resus-papers-for-tbs-st-emlyns/
vb
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Simon Carley, “Top resus papers for TBS. St Emlyn’s,” in St.Emlyn’s, February…
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R-A-C-E session at RCEM CPD conference. St Emlyn's
Review of the RACE session at the 2024 CPD conference for RCEM. History, differential attainment and what we need to do about racism in medicine. #FOAMed @stemlyns
This was a really powerful session that took us on a journey from the past, to the present and left us with a very powerful feeling of hope for the future. I’ll try to summarise the main points below and then add a further reading section for your homework as one if the main lessons of this session is that we all have work to do if we want to make the world a fairer and more equitable…
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11th Kongress der Arbeitsgemeinschaft fur Notfallmedizin. St Emlyn's
Our conference report from 11th Kongress der Arbeitsgemeinschaft fur Notfallmedizin @stemlyns
Blog themes on trauma, cardiac arrest and research . #FOAMed
This month I was in Graz, Austria at the 11th Kongress der Arbeitsgemeinschaft fur Notfallmedizin. Although EM is not a primary speciality in Austria it is very clear that there are many clinicians who are interested in emergency care. There is always an English only track and so I would defo recommend a trip out here if you want to learn about EM in a wider Europe and without a focus on the…
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JC: Bougie use in tracheal intubation. St Emlyn's
Should we always use a Bougie for RSI? This paper says yes. Our journal club blog on a meta analysis of bougie use in airway management. #FOAMed @stemlyns @cliffreid @EMManchester
This week Cliff Reid highlighted a recent meta-analysis of the use of bougies in tracheal intubation. This is something that has been routine practice in Virchester ED for many years, but we still get colleagues in anaesthesia and ICM who occasionally decline and prefer to use a plain tube. Whilst I have my own personal opinions on this, it is always worth reviewing the research too to see if my…
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The ARC-H principle: re-defining global health & shifting the balance.
The ARC-H principle: re-defining global health & shifting the balance. Anisa Jafar @EMergeMedGlobal takes us through why definitions really matter. A fresh look at what global health has come to mean and how this meaning can have profound impact.
It is tempting to begin this blog, based on its BMJ Global Health parent paper published in early 2024, by listing some of the hundreds of definitions of “global health”. Each reader will have their own, slightly different idea of what the term means. And why wouldn’t they? ‘Global’ is so all encompassing that you’ll find some polarising ideas on one hand that it refers to low-resource…
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JC: Are long waits in A&E lethal for elderly patients?
Greg Yates (new to the St Emlyn's team) reviews for Journal Club a review of a JAMA paper on elderly deaths associated with long overnight waits on an ED trolley.
This paper has prospective data (which many others lack)
#FOAMed @stemlyns
On an average shift at St Emlyn’s we admit a high number of elderly patients, many of whom are frail. These patients are often unable to fully care for themselves due to low mobility, cognitive impairment, and chronic pain.
Hospital wards are usually well-equipped to meet these additional needs, but sourcing a ward bed can be difficult. It is not uncommon at this time of year for our elderly…
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Is mCPR associated with better outcomes for in-hospital cardiac arrest? St Emlyn's
Is mechanical CPR associated with improved or worse outcomes in in-hospital cardiac arrest. #FOAMed @stemlyns
Mechanical CPR (mCPR) is widely used as a tool in cardiac arrest management. There are several good arguments to support its use of course, it does not get tired, it can reduce the number of people needed to run an arrest, it can be used to facilitate other procedures such as invasive access/ECPR and it is safer to delver when the patient is being transported (especially where the ergonomics of…
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Global Health map – connecting UK emergency care practitioners
Anisa Jafar talks us through how we can connect UK emergency care practitioners and their global health work - an interactive global health map hosted by RCEM. @rcollem @stemlyns #FOAMed EMergeMedGlobal
Lots of our emergency care colleagues will be involved or interested in global health, whether that is in an area of access, resource and/or context-limited healthcare. Over the past few years there have been initiatives such as Global Emergency Care Collaborative or GECCo which has been working to bring such like-minded colleagues together. Meanwhile, some collaborative working between members…
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Decompensated. Liver disease in the ED. St Emlyn's
Estimated reading time: 13 minutes
This week I am in Canada, specifically Whistler for the Annual Update in Emergency Medicine CPD conference. This is the second ski resort I’ve done this month, which is odd, because I don’t ski. That said it’s an amazing opportunity to spend time with old and new friends in the spectacular surroundings of the Canadian Rockies.
I’ve got three talks this week,…
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CPD update for UoT CPD conference, Whistler 2024. St Emlyn's
Thie week I am in Whistler BC, with three talks. Firdt up is the key papers update talk. Great conference - from the University of Toronto CPD update in emergency medicine Whistler 2024 #uoftem24 #FOAMed #EBM #EM @stemlyns @davidcarr333
This week I am in Whistler, British Colombia for the University of Toronto annual CPD update. Led by our good friend Professor David Carr, it’s an incredible venue with great speakers and in an inspiring location.
My contribution is to kick off the conference with a review of the key literature from the last 12 months that will hopefully frame some of the discussions over the next few days. As…
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St Emlyn's podcast round up January 2024.
Our regular podcast round up of the best of the blog from January 2024. This month we focus on habits, the management of the comatose overdose patient and retention/recruitment issues in UK emergency…
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Podcast round up: January 2024. St Emlyn's
Iain and Simon review the best of the blog and the state of UK emergency care in this podcast round up from January 2024.
Iain and Simon review the best of the blog and the state of UK emergency care in this podcast round up from January…
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Top resus papers for TBS. St Emlyn's
The Big Sick conference is an amazing event in Zermatt where resuscitation enthusiasts are brought together from across the world to learn. #FOAMed @stemlyns #tbs24
This week I am in Zermatt, Switzerland for ‘The Big Sick’ conference. This is something I have been looking forward to years, but major heart surgery (valves not pipes) and COVID scuppered my plans to join the team to discuss the latest and greatest science in resuscitation. Even more than that I am really excited to be meeting up with ATACC colleagues to discuss how we innovate in…
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JC: Retention, working conditions and opportunities in EM. St Emlyn's
Our Journal Club review of Qual paper on Retention, working conditions and opportunities in Emergency Medicine. #FOAMed @stemlyns
There are problems in our EDs, but what are the main themes and can improved leadership make it better? @DrJoDaniels
This week we look at a paper from the EMJ that explores what are that main factors influencing retention, working conditions and opportunties in UK emergency medicine. This is timely as there is no doubt that there are many EM clinicians who are facing a great deal of work related stress at the moment. We see this though issues with retention, emigration and in formal and informal feedback…
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JC: Intubation for the low GCS tox patient. St Emlyn's
The @stemlyns journal club review of JAMA paper on whether we need to intubate all poisoned patients with a low GCS (
Virchester (the home of St Emlyn’s) is a large conurbation that suffers from many of the issues that affect large urban populations in the western world. One part of that is the large consumption of drugs and alcohol; intentionally, unintentionally, and accidently. Such patients often end up in the emergency department with a low GCS and consequent concerns about the safety of their airway and…
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