The St.Emlyn’s virtual hospital podcast

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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

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.

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 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 

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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.

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.

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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/

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 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

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

April 29, 2016  

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.

March 23, 2016  

Induction podcast on Sepsis

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

February 24, 2016  

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.

January 25, 2016  

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.

January 13, 2016  

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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December 29, 2015  

Why do Emergency Medicine from Edinburgh EM #EDvolution

Watch Now:

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/

S

December 17, 2015  

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.

December 8, 2015  

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.

December 4, 2015  

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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S

November 26, 2015  

The Turban technique for head bandaging

Watch Now:

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/

S

November 2, 2015  

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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September 27, 2015  

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.
September 5, 2015  

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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