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
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).
Just a quick update on what the team has been up to, and plans for the next few months.
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/
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.
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.
Iain and Simon discuss Iain's SMACC talk and how we deal with difficult cases in the ED.
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.
Quick intro to SMACC2015 in Chicago.
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
Red flag symptoms and analgesia advice below.
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.
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.
A first podcast with Simon Laing from the RCEMFOAMed team. We look back at influential trauma related papers from 2014-2015.
If you want to know more visit www.stemlynsblog.org f
or more discussion and links to all the papers discussed.