The St.Emlyn’s virtual hospital podcast

The St.Emlyn’s virtual hospital podcast header image 1
May 17, 2018  

St Emlyn’s March 2018 blog and podcast round up.

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Iain and Simon catch up on what happend on the St Emlyn's blog and podcast in March 2018.

Visit http://www.stemlynsblog.org for more info and links to the articles mentioned in the podcast.

This month we cover IV fluids and the never-ending debate around balanced crystalloids vs. saline, we look at working in Africa on secondment or as a placement and we round off with a discussion of the utility of pupillary signs in the prognosis of patients post cardiac arrest.

S

April 29, 2018  

The Physican Response Unit (PRU) with Rich Carden and Tony Joy

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The Physician Response Unit (PRU) is an innovative service in East London that takes the emergency department to the patient. The PRU is led by Tony Joy, consultant in emergency medicine and prehospital care and is a fairly unique service to the UK.

In this podcast our very own Richard Carden interviews Tony for an in depth understanding of how the service is supporting the entire emergency care system in London.

You can read more about the PRU here https://londonsairambulance.co.uk/our-service/news/2017/10/remodelled-pru-to-be-a-seven-day-service-for-the-first-time and look out for a blog post on the St Emlyn's blog site very soon.

St Emlyn’s February 2018 blog and podcast round up.

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Iain and Simon review the best of the blog from February 2018.

Simon Carley

April 2, 2018  

St Emlyn’s January 2018 in review

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Simon and Iain belatedly reflect on a tough winter and the posts in January.

Check out stemlynsconference.com if you want to know more about #StEmlynsLIVE

S

February 23, 2018  

Debriefing in Critical Care with Liz Crowe

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In this episode, the fabulous Liz Crowe (@LizCrowe2) discusses how to approach debriefing after critical (and non critical) incidents in healthcare. We focus on the debriefing that takes place 5-7 days after an incident. For more on a "hot" debrief listen to this podcast by Ashley Liebig and Rob Orman (http://blog.ercast.org/beating-stress-and-the-hot-offload-with-ashley-leibig/)

February 14, 2018  

CAN 8. Diagnostics and PICTR questions.

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Rick and Simon talk about critical appraisal and diagnostic studies. How does a PICTR question work and how can you use it to assess the quality of a published study, and how can it be used in research design.

 

January 24, 2018  

Managing Perceived Devastating Brain Injured patients.

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In this podcast Simon talks to Dan Harvey (ITU) and Mark Wilson (Neurosurgeon) on the management of complex patients with a perceived devastating brain injury.

This podcast is linked to the blog on the St.Emlyn's website.

http://stemlynsblog.org/jc-devastating-brain-injury-complex-decisions-in-the-resus-room-st-emlyns/

S

January 16, 2018  
January 13, 2018  

The Critical Care Reviews meeting and the ADRENAL Trial results. Jan 2017

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Rob MacSweeney from the incredible Critical Care Reviews website joins Simon to talk about the forthcoming CCR meeting in Belfast and the news that the eagerly awaited ADRENAL trial will be releasing it's results this Friday.

Here's the link for the live stream at 0900 GMT on Friday 20th Jan https://www.youtube.com/watch?v=ZU5w9AIu83Q If that does not work on the day then head over to the CCR website for an updated link

Here's the link to the CCR website. http://www.criticalcarereviews.com

Below is the 'blurb' from the CCR website. The bottom line is that this is a unique and incredibly valuable event and there is still time to get there.

S

Every year the Critical Care Reviews Meeting brings the chief investigators for the biggest and best critical care trials of the year to Belfast to discuss their work. The programme is put together throughout the year as these trials either near completion or are published, but we have three confirmed mega trials to open registration with:

  • ADRENAL - Prof Bala Venkatesh (Brisbane) will discuss ADRENAL, ANZICS latest mega trial, investigating corticosteroids in septic shock.
  • TRANSFUSE - Prof Alistair Nichol (Dublin / Melbourne) will discuss TRANSFUSE, another massive ANZICS RCT, examining the age of transfused red cells in the critically ill
  • MACMAN - Dr Jean-Baptise Lascarrou (Nantes) will present the MACMAN trial, comparing direct laryngoscopy with video laryngoscopy in the ICU.
  • ATHOS-3 - Dr Ashish Khanna (Cleveland) gives his perspective on the ATHOS-3 trial, evaluating angiotensin II in vasodilatory shock.
  • BREATHE - Prof Gavin Perkins (Warwick) tackles the role of non-invasive ventilation to achieve liberation from invasive mechanical ventilation
  • VAP-RAPID - Prof John Simpson (Newcastle) describes his trial investigating a biomarker-guided strategy for limiting antibiotics for ventilator-associated pneumonia
  • ART - Prof Alexandre Cavalcanti (São Paulo) explains the ART trial, testing alveolar recruitment in ARDS
  • SURVIVING SEPSIS CAMPAIGN - Prof Andrew Rhodes (London) will explore the latest version of the Surviving Sepsis Campaign, which was released in January
  • JOHN HINDS TRAUMA LECTURE - Dr Sophie Wallace (Perth) delivers this honorary lecture, recalling events during a major incident on Mount Everest

The Meeting is getting increasingly popular and in 2017 sold out for the first time. If you haven't yet been, and are wondering what it's all about check out the promotional movie. In addition to the big trials, we also review the remaining major trials of the year, have talks on "how I manage..." specific conditions by these experts, and take a look at the dark arts of critical care research with some of the best trialists in the world. In addition, every delegate will receive a free copy of the "Critical Care Reviews Book 2018" summarising, critiquing and placing in context the best critical care trials of the year. If you are unluckily enough not to be able to make it, all talks will be recorded and made freely available online after the event. You can check out the previous talks here and last years book here

The Critical Care Reviews Meeting is a small, intimate event where you get the opportunity to meet the faculty, ask questions and have a beer with them. The famous "Informal Chat", held at the end of the day, guarantees this opportunity to ask some real questions and get some very interesting answers. Stay for dinner afterwards, overlooking the slipways where RMS Titanic and Olympic were built and launched. Year on year delegate feedback has been incredibly positive confirming this as one of the best meetings around. In 2017 delegates travelled from across Ireland, the UK, Europe, India, the USA and Australia. Don't wait too long before registering as numbers are limited and the meeting will sell out.

Critical Care Reviews is a not-for-profit organisation.

December 27, 2017  

HEMS, reflections and St.Emlyn’s e-books.

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Natalie and Simon discuss reflections, e-books and life at Sydney HEMS. This week we have added Lorikeets in the background (Nat recorded at Coogee Bay in NSW). We think they sound cute so we've kept them in (or rather we could not edit them out).

S

December 9, 2017  

November Round up 2017.

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Our November round up of news from the blog with Simon and Nat.

December 9, 2017  

How to use WhatsApp and other group messaging systems in a Major Incident.

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A quick summary on how you can use group messaging systems in a major incident. A vast improvement on telephone cascades BUT you have to set this up in advance. If you make it up on the day it will be a disaster. Here's the tips and tricks from the Virchester team. You can read more here http://stemlynsblog.org/tag/whatsapp/

November 10, 2017  

#badEMfest18 and St.Emlyn’s

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Simon chats to Katya Evans and Craig Wylie about the badEM team and their unique conference planned for 2018.

St Emlyn’s in Review October 2017

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Simon (@EMManchester) and Iain (@docib) review some of the articles from the St Emlyns blog site (http://stemlynsblog.org/) from recent weeks and chat about the current state of Emergency Medicine in the UK.

1:00 - How to declare a Major Incident - http://stemlynsblog.org/how-to-declare-a-major-incident-st-emlyns/

3:10 -  RCEM ASC 2017 – Update on the TiLLI study - http://stemlynsblog.org/rcem-asc-2017-update-on-the-tilli-study/

6:03 - The rise and SURPRISE of the DOACs - http://stemlynsblog.org/the-rise-and-surprise-of-the-doacs/

8:08 - Life as an EM Trainee in South Africa -  https://itunes.apple.com/gb/podcast/the-st-emlyns-virtual-hospital-podcast/id547326956?mt=2&i=1000393179333

9:26 - Rheum for Improvement? The physical challenge of EM training - http://stemlynsblog.org/rheum-for-improvement-st-emlyns/ Harriet's website is here  - https://www.rheumforimprovement.com/

10:47 - JC: Oxygen in ACS. A fuss about nothing? The DETO2X Trial - http://stemlynsblog.org/oxygen-in-acs-a-fuss-about-nothing/. Paper is here - http://www.nejm.org/doi/full/10.1056/NEJMoa1706222

11:57 - Is cMyC the new troponin? - http://stemlynsblog.org/cmyc-new-troponin/

13:00 - Who gets a Tetanus? You get a Tetanus! - http://stemlynsblog.org/tetanus-in-the-ed/

14:22 - Mass Casualty Incidents: Lessons from AAST - http://stemlynsblog.org/mass-casualty-incidents-lessons-aast-st-emlyns/

15:00 - The Annual Scientific Conference and the State of EM

Life as an EM trainee in South Africa. Postgraduate electives and more.

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I recently met up with some amazing UK docs working in South Africa at the EMSSA conference. This conference was held in Sun City near Johannesburg and brought together emergency physicians from across the contient.

It was great to catch up some UK docs who were on postgraduate electives  working in hospitals like Khayelitsha which you may remember from this amazing blog by Robert Lloyd.

So please listen, learn and get in touch if it's something that you want to do.

On the podcast we have

Simon Carley (@EMManchester), Jennifer Hulse (@coffeeheadaches), Chris Wearmouth (@CCWearmouth), Jacob Smith (@DrJacobSmith), Emma Gold (@EmmaRGold) and Chloe Sanderson.


There are also Marina Queisser & Eveline Baerends
in the photo.

Foreskins: A PED primer. St.Emlyn’s

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A podcast on foreskin problems in the paediatric emergency department with Ross Fisher and Simon Carley.

This podcast links to the blog post which you can find here. Foreskins a PED primer.

Everybody’s free - Top Tips for the Class of 2017

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It's that time of year again, where we get new colleagues in the Emergency Department (and across lots of other areas of the hospital too).

These are some of the top tips  for new starters (and life in the ED in general) gathered from the senior medical and nursing team at Virchester (South).

More induction guidance and education available at http://stemlynsblog.org/induction/

Oh. And one tip we left out - always wear sunscreen.

With thanks (and apologies) to Baz Luhrmann.

July 28, 2017  

Non accidental injury in the ED.

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This podcast links to a previous blog on St.Emlyns which you can find here.

Thinking the unthinkable.

 

S

July 4, 2017  

Burnout in Critical Care with Liz Crowe

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Iain (@docib) and Liz (@LizCrowe2) discuss one of the hottest topics in medicine - Burnout. What is it, who gets it and what can we do about it? Liz brings her huge knowledge and experience to a topic that is often discussed, but not always understood. Essential listening.

June 23, 2017  

#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).

S

June 23, 2017  

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.

June 22, 2017  

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.

May 15, 2017  

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/

 

vb

 

S

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

January 23, 2017  

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.

S

January 14, 2017  

CAN 6 Retrospective and Prospective studies

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

January 6, 2017  

CAN 5 Journal Clubs

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Setting up a really great journal club.

December 13, 2016  

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/

S

December 9, 2016  

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)

October 29, 2016  

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.

S
October 23, 2016  

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 

vb

S

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.

October 4, 2016  

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".

September 9, 2016  

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.

S

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/

August 17, 2016  

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 ;-) ).

S

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).

July 31, 2016  

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.

July 26, 2016  

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.

S

July 8, 2016  

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.

vb

S

June 26, 2016  

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.

S

June 22, 2016  

SMACC Dublin Day 3 round up

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

June 16, 2016  

SMACC Dublin Day 2 round up.

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Nat and Iain round up day 2 at SMACC Dublin

June 14, 2016  

SMACC Dublin Day 1 podcast

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

S

June 12, 2016  

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.

S