Iain and Simon chat through our top ten trauma papers for 2016. Lots here for anyone who is interested in trauma including whole body CT, traumatic cardiac arrest, neurosurgery in severe head injury and much more. As ever we'd suggest you read the original papers, references for which along with a blogpost can all be found here http://stemlynsblog.org/top-10-trauma-papers-2016-st-emlyns/
In a new podcast format Simon (@EMManchester) and Iain (@docib) discuss the month's offerings from the St Emlyn's blog and podcast (www.stemlynsblog.org).
It's been a month full of interesting posts on subjects as diverse as Thrombolysis in Stroke (Alan Grayson), The Future of Emergency Medicine in the Social Age (Simon), Cardiac Arrest Centres (Simon), Love in Critical Care (Liz Crowe), Transfers (Nat and Simon), Thrombolysis in PE (a guest post from FOAMed legend Anand Swarminathan) and Benzos in Back Pain (Janos). Head to the website for the articles themselves and all the references and links you need.
We're aiminig to make this a regular monthly podcast - let us know if it's useful and enjoyable and how we could make it even more educational.
Nat and Simon discuss the complexities of transferring a patient from the resus room to CT and back again. Look out for the blog post soon on stemlynsblog.org
This podcast links to a St.Emlyn's blog on the outcome of the James Lind Alliance research priority setting exercise.
Rick and Simon talk about the merits of prospective and retrospective studies
Setting up a really great journal club.
Another Critical Appraisal Nugget on why analysis by intention to treat is so important.
Here's the podcast on BRUE and ALTE's in the emergency department.
Nat and Simon talk through the key points.
Simon and Natalie pitch for the Speak like SMACC workshop in Berlin next year.
Don't forget to book your workshops when you register this week.
The fabulous Liz Crowe (@LizCrowe2) returns to the St Emlyn's podcast to chat with Iain about how we can communicate more effectively with children in critical care. This podcast explores topics that are important not just for clinicians, but anyone who works with or has children.
Iain Beardsell, Simon Carley and Roger Harris catch up in Vienna to give you the back story on DAS SMACC, registtion and speakers.
SMACC DUB sold out in a matter of hours and this year is likely to be the same. Make sure you're ready to go on the 26/10/16 when registration opens.
Simon and Iain chat about the first few days at EuSEM in Vienna. Some of the clinical and social highlights. We also have a bonus podcast at the end recorded with a volunteer at Iain's "Podcasting for Beginners'" talk. For more from EuSEM (The European Society for Emergency Medicine) congress follow the #eusem16 hashtag on Twitter.
Prof Rick Body and Niall Morris, Clinical Research Fellow, discuss selection bias and how it can affect clinical research.
This podcast is the third in the St Emlyn's series "Clinical Appraisal Nuggets".
As part of our induction series we look at the management of upper GI bleeds in the ED.
Liz and Iain review the communication workshop at SMACC Dublin. This is relevant to everyone who works in clinical care.
More great stuff from Liz (and Iain ).
Our series on critical appraisal nuggets in 5-10 mins. This week it's Randomisation. Great if you are revising for an exam in critical appraisal (e.g. FRCEM).
Part 2 of our podcasts on major trauma handovers. This follows on from the discussion at SMACC and is intended to operationalise the concepts we talked about then. This is aimed at a UK audience but should apply pretty much anywhere. So hands off, eyes open and listen in, here we go.
Just a quick update on what the team has been up to, and plans for the next few months.
Whilst we were in Dublin at the SMACC conference we took the opportunity to get some great minds together on the subject of ED handover at the point between prehospital and hospital teams for the critically ill or injured patient in the resus room.
This is an area of some difficulty in many areas (prob shouldn't be, but it is) and we thought it would be fun and useful to get perspectives from both sides.
As ever, we are not here to be definitive and your service may have a fantastic model that works well. This podcast is to help you think about what you're doing and to consider whether it can be improved.
Doug Lynch is a retrieval doctor from Australia
Ashley Voss-Liebig is a flight nurse from Texas
Natalie May is a retrieval doctor from Sydney (Virchester Alumnus)
Rusty Carroll is a senior paramedic from Virchester and a great supporter of the ATACC group.
We don't have all the answers, but we do have the ideas.
In Virchester it can certainly be improved.....
Tell us what you think and keep an eye out for the blog post on the same subject coming soon.
If you want to be the best clinician for your patients then it's important to look after yourself.
In this podcast Liz and Iain talk about making a plan to fell better, be better and be well.
Iain and Liz reflect on day 3 of the SMACC Dublin Conference
Nat and Iain round up day 2 at SMACC Dublin
Simon and Iain reflect on an emotional day at the SMACC conference in Dublin 2016
A few words from participants on the SMACC Dublin 5k run. It's Sunday the 12th June and the SMACC Craic is about to start.
Robert Lloyd aka @ponderingEM from the Pondering EM blog joins Simon to talk about his experiences in a South African ED. This is an amazing tribute to the work our South African colleagues and how an Englishman found a way to adapt to the challenges (and there are many) of SA EM practice.
You can find his references for the talk here.
For the induction series in EM. Tips, pointers and awareness of sepsis in the ED.
Iain and Liz discuss boundaries and medicine. What do you do when your personal life impacts on your clinical practice.
Ross Fisher, consultant paediatric surgeon and lead for TARNlet joins Simon Carley at the London Trauma Conference to discuss the challenges in managing paediatric trauma in the UK.
Iain Beardsell joins Tim Coats, chair of the UK Trauma Audit Network, to discuss the role of trauma units within major trauma networks.
Simon and Ross Fisher from Sheffield discuss the emerging role of paediatric surgeons in trauma. This podcast was recorded at the London Trauma Conference (so sorry for a bit of background noise at times).
The emergency department at Edinburgh Royal has a long history of research, innovation, clinical care and teaching. This video was produced by them to highlight why we do what we do. It's fantastic and if you want to know more please visit and follow them at http://www.edinburghemergencymedicine.com/
The James Lind Alliance is working with the public and the Royal College of Emergency Medicine on an incredibly important research priority setting exercise. This podcast with Rick and Simon explains why and how you must get involved (please).
Blog post here http://stemlynsblog.org/john-lind-alliance-update-st-emlyns/
Iain and Liz discuss how we can manage bad outcomes at Christmas. It's especially tough for patients and their families when tragedy occurs at times when we are all suposed to be festive. It's also tricky for staff and their families. Liz and Iain talk through why we feel like we do and how we can manage ourselves and others better.
Our summary of Day 2 of the excellent London Trauma Conference. A unique threesome from Nat, Simon and Iain.....
has become our pre-Christmas custom, Iain and I have been hanging out
at the fabulous London Trauma Conference, hearing about advances and
controversies in trauma care and tracking down some of the speakers to
find out exactly what they really think (and recording it, for podcasts we'll release in due course).
conference extends over four days, incorporating the Air Ambulance and
Prehospital Day and the Cardiac Arrest Symposium; unfortunately we can't
stick around for those but our colleagues over at the RCEM FOAM network will be podcasting from those days too, so keep an eye on their site and podcast feed too.
We are truly honored to listen and learn from Dr Youri Yordanov from Paris. Youri was the senior emergency physician on duty on the 13/11/15 during the brutal and terrifying terrorist attacks in Paris. Here he joins St.Emlyn's to discuss how they managed a mass casualty incident with lessons for us all.
There is no doubt that without the skills, preparation and response of Youri, his ED team, the wider hospital and the emergency service in general the death rate would have been much worse.
Thanks Youri for your wisdom and reflections.
Jose and Marcin demonstrate how to use a 2-inch and a 6-inch bandage to
create a turban-style scalp bandage which doesn’t slide off the
patient’s head. This technique does not apply direct pressure to the
wound itself and so is of limited use when there is still active
Courtesy of Nat May who now works at Oxford MTC.
You can read more here http://stemlynsblog.org/turban-technique-scalp-bandage/
Simon and Nat talk about how to have that tricky conversation when you have to tell a colleague that they may have made a mistake.
How to make a referral from the ED to an in patient team.
Iain and Simon give you tips on making it great.
Liz Crowe joins Iain Beardsell to discuss really difficult conversations in the ED. How do we communicate terrible news in the ED and critical care.
Iain and Simon discuss the core skills that all EM clinicians need to manage pain in the ED.
These are the basics, but don't be put off. The basics are more important than the fancy stuff that we will discuss in a later podcast.
A podcast mini to round up and look forward to the next few months on the podcast.
We also have a special recording of Danny Boy from the Irish Youth Choir and conducted by Greg Beardsell. This performance was dedicated to Dr John Hinds in Dublin following his untimely death in a motorcycle accident.
Please listen and take a moment to remember him and all that he has done to inspire everyone involved in the care of the injured.
Day 2 and 3 at #smaccUS. Iain and Simon round up the highlights and look forward to #smaccDUB.
Liz Crowe has delivered some great talks at SMACC, and her talents do not stop there. In her real job she is a social worker on PICUs in Australia. She has a wealth of experience at helping people through difficult times and she shares that with us here on the podcast.
In truth this is something we planned to do when we were all in Chicago but the podcast has added poignancy following the tragic death of John Hinds. Although planned as a stand alone subject we cannot help but contextualise the topic in light of recent tragic events.
We hope it helps now and in the future.
RIP John Hinds
Crack the Chest talk at SMACCUS
The first day of #smacc15 was amazing. An incredible introduction and an amazing program.
Have a listen to what the St.Emlyn's team got up to on day one.