The St.Emlyn’s virtual hospital podcast

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#dasTTC in Copenhagen. The third and final day.

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Our last podcast from the teaching course in Copenhagen #dasTTC. George Wills, Simon Carley, Natalie May, Jesse Spurr and Salim Rezzaie give the faculty perspective.

The short version is we think and hope that the delegates learned something, but as a faculty we once again learned loads and met some amazing people.

Roll on the next course. (hint they are in San Fransisco and Melbourne).

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The teaching course day 2. Copenhagen.

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Chris Nickson, Natalie May and Simon Carley discuss simulation and educational theory on day 2 of the teaching course.

The teaching course day 1. Copenhagen.

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Nat, Simon and Ash discuss day one of The Teaching Course in Copenhagen.

EMZen, wellness, icebreakers and feedback.

CAN 7 Relative risk, Absolute risk and NNT in 5 minutes

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A critical appraisal nuggest on simple ways to understand the true effect of an intervention. Also see this more in depth podcast done with Iain Beardsell

 

http://ebem.podbean.com/2011/11/03/statistics-2/

 

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Top Ten Trauma Papers 2016

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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/

 

 

St Emlyn’s In Review - March 2017

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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.

ED transfers. Patient, Preparation and People.

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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

Research Priorities in Emergency Medicine

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This podcast links to a St.Emlyn's blog on the outcome of the James Lind Alliance research priority setting exercise.

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CAN 6 Retrospective and Prospective studies

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Rick and Simon talk about the merits of prospective and retrospective studies

CAN 5 Journal Clubs

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Setting up a really great journal club.

Top tips for chest drains.

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This podcast accompanies the St.Emlyn's blog post on top tips for chest drainage.

http://stemlynsblog.org/chest-drain-excellence-microskills/

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CAN 4 Intention to Treat

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Another Critical Appraisal Nugget on why analysis by intention to treat is so important.

TTC NYC Round Up

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A quick round up of events from the excellent Teaching Course in New York (https://flippingmeded.com/) with guests Ross Fisher (@ffoliet), Ashley Leibig (@ashleyliebig), Sandra Viggers (@StarSkaterDK) and Camilla Sorenson (@Camillabirgitte).

For brilliant summaries of each day, with details from every talk, visit http://scanfoam.org/teaching-course-nyc-day-1-ttcnyc16/ (Day 1) and http://scanfoam.org/teaching-course-nyc-day-2-ttcnyc16/ (Day 2)

Apparent Life Threatening Events in Babies.

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Here's the podcast on BRUE and ALTE's in the emergency department. 

Check the associated blog too http://stemlynsblog.org/alte-brue/ 

Nat and Simon talk through the key points.

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Speak like SMACC Workshop

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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.

http://stemlynsblog.org/?s=smacc&searchsubmit=U 

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All the King’s Horses - Difficult Conversations with Children in Critical Care

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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.

DAS SMACC update and registration

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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.

EuSEM Half Time Talk

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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.

CAN 3 - Selection Bias

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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".

Induction podcast. Managing upper GI bleeding in the ED.

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As part of our induction series we look at the management of upper GI bleeds in the ED.

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CAN 2 Blinding and Masking in clinical trials

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Rick and Simon talk blinding (and masking) for your critical appraisal delight.

See more at http://stemlynsblog.org/cans-critical-appraisal-nuggets-st-emlyns/

Communication workshop with Liz and Iain

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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 ;-) ).

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CAN1 - Randomisation

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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).

Handover part 2.

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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.

Summer update from St.Emlyn’s

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Just a quick update on what the team has been up to, and plans for the next few months.

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ED Handover in the resus room.

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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.

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Wellbeing

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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.

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SMACC Dublin Day 3 round up

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Iain and Liz reflect on day 3 of the SMACC Dublin Conference

SMACC Dublin Day 2 round up.

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Nat and Iain round up day 2 at SMACC Dublin

SMACC Dublin Day 1 podcast

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Simon and Iain reflect on an emotional day at the SMACC conference in Dublin 2016

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SmaccDUB prequel after the SmaccRUN

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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.

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An Englishman in South Africa

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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.

Induction podcast on Sepsis

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For the induction series in EM. Tips, pointers and awareness of sepsis in the ED.

When Professional and Personal Worlds Collide with Liz Crowe at St.Emlyn’s

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Iain and Liz discuss boundaries and medicine. What do you do when your personal life impacts on your clinical practice. 

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Ross Fisher on the management of UK Paediatric trauma

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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.

International Meeting for Simulation in Healthcare: Conference report.

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Sandra Viggers and Vic Brazil grace St.Emlyn's with a conference report from Sand Diego and the

International Meeting for Simulation in Healthcare (IMSH) #IMSH2016.

Tim Coates on the role of UK trauma units. St.Emlyn’s at the London trauma conference.

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Iain Beardsell joins Tim Coats, chair of the UK Trauma Audit Network, to discuss the role of trauma units within major trauma networks.

Ross Fisher on the role of paediatric surgeons in trauma

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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).

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Why do Emergency Medicine from Edinburgh EM #EDvolution

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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/

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We need you to help set research priorities in EM. The James Lind Alliance wants your help.

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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/

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Grief at Christmas

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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.

LTC 2015 Day 2 Summary

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Our summary of Day 2 of the excellent London Trauma Conference. A unique threesome from Nat, Simon and Iain.....

LTC 2015 Day 1 Summary

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Greetings from the London Trauma Conference!

As 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).

The 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.

Youri Yordanov: Lessons learned from the November Paris attacks. St.Emlyn’s

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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.

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Clinical Judgement for the Emergency Physician

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My talk from the RCEM conference in Manchester 2015.

Linked blog post here. http://stemlynsblog.org/making-good-decisions-in-the-ed-rcem15/

Slides are here http://www.slideshare.net/simoncarley7/making-good-decisions-rcem-2015-manchester-wednesday

Have fun and enjoy your emergency medicine.

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The Turban technique for head bandaging

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Priya, 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 bleeding.

Courtesy of Nat May who now works at Oxford MTC.

You can read more here http://stemlynsblog.org/turban-technique-scalp-bandage/

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When things go wrong - the difficult conversation at St.Emlyn’s

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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.

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How to refer a patient - a must have skill for the emergency physician

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How to make a referral from the ED to an in patient team.

Iain and Simon give you tips on making it great.

Breaking Bad News with Liz Crowe at St.Emlyn’s

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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.

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Core analgesia in the ED. Induction podcast.

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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.

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