The St.Emlyn’s virtual hospital podcast

The St.Emlyn’s virtual hospital podcast header image 1

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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St.Emlyn's

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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St.Emlyn’s mini. Teasers, conferences and Danny Boy.

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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.

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#smaccUS round up. Day 2 and 3.

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Day 2 and 3 at #smaccUS. Iain and Simon round up the highlights and look forward to #smaccDUB.

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Managing grief in the ED with Liz Crowe

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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

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St.Emlyn's

SMACCUS 2015 Day one round up.

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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.
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SMACC - All in a day’s work

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Iain and Simon discuss Iain's SMACC talk and how we deal with difficult cases in the ED.

SMACC Workshops

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Recorded in Chicago at the SMACC US Conference, Nat, Rick, Simon and Iain discuss the day of workshops and look forward to the main conference.

SMACC15 teaser from St.Emlyn’s

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Quick intro to SMACC2015 in Chicago.

Induction podcast. Back pain in the ED

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Another induction podcast on a common condition in the ED. Back pain in the ED - it's not all musculoskeletal and there are some really risky diagnoses out there that you need to think about.

Back pain is a multi system disorder....., until you can prove otherwise.

Don't forget to listen to Iain's talk on chronic pain link here.  https://vimeo.com/97811644

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Red flag symptoms and analgesia advice below.

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Barbra Backus on Risk scores in Acute Coronary syndromes

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Barbra Backus joins Rick Body to discuss the origin, development and future of risk scores for ED patients with possible acute coronary syndromes. Two researchers at the top of their game, and  authors of the HEART and MACS scores.

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Details of the SMACC Run in Chicago!

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Interested in taking part in the SMACC Run? Visit http://wp.me/p2DMH0-6uX for everything you need to know or visit www.bit.do/smaccrun and complete the online form. Don't forget to pre-order your SMACC merchandise!

Asthma Induction Podcast. St.Emlyn’s

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Iain and Simon discuss the initial management of severe and life threatening asthma in the resus room.

Another podcast in the induction series aimed at new starters in Emergency Medicine.

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Top 10 trauma papers 2014-2015.

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A first podcast with Simon Laing from the RCEMFOAMed team. We look back at influential trauma related papers from 2014-2015.

This talk was presented at the Trauma Care Conference in Telford 2015. It's a great conference and I'd encourage you to attend.
If you want to know more visit www.stemlynsblog.org for more discussion and links to all the papers discussed.
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LTC. Tim Draycott on Obstetric Trauma

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Iain interviews the wonderful Tim Draycott on the management of the Obstetric patient with trauma.Tim is a consultant Obstetrician from Bristol and is a great speaker on this rather terrifying topic!

APLS 2015 updates for the management of the serious injured child. St.Emlyn’s

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A short podcast updating the UK Advanced Paediatric Life Support (APLS) course guidelines for the management of trauma in children.

Don't forget to read the blog post here. APLS Updates: New kids on the block,

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Ross Fisher and Natalie May discuss Paediatric Major Trauma at the London Trauma Conference

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I recently met Ross in the flesh. What a super chap. A great clinician who really wants to improve care for injured children in the UK and around the world.
In this podcast he gives us a paediatric perspective on how we should approach the seriously injured child.

Great stuff, controversial in places, challenging to adult dogma and always excellent.

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PS. If you ever get to hear him speak.... then do, he's awesome. Check this out.

Is trauma an elite sport. Tom Evens joins St.Emlyn’s.

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Tom Evens is a doctor, rowing coach, prehospitalist and awesome resuscitationist. In this podcast he talks about aspiring to be excellent and whether we can draw parallels with sport.
Great stuff.
Check out the marginal gains post which is referenced in the podcast here http://stemlynsblog.org/ed-need-matt-parker-st-emlyns/
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Opiate overdose in the ED.

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stemlyns31400.jpgSimon and Iain debate how the management of opiate OD has changed in the ED.

Surely you're not still giving massive doses of naloxone IV and IM are you? Really? Maybe this will make you think again.

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Prof. Tim Harris joins St.Emlyn’s on Shock Assessment

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Do you think you're awesome at assessing shock?

Think again!

The stupendous Prof Tim Harris (who St.Emlyn's loves) tells us that all is not quite as it seems.....

Listen, learn, be awesome.

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New (or are they really new) Oral Anticoagulants and the Emergency Physician PART 2

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Rick and Kirstin delve deeper into the world of Novel Oral Anti Coagulants.

Karim Brohi at LTC with St.Emlyn’s

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Karim Brohi joins the St.Emlyn's team at the London Trauma Conference to talk on vascular injury and arterial dissection. A whole range of diagnoses that you should not miss, but which is easy to miss.

Tricky!

Check out the blog post that accompanies this podcast here.

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