The St.Emlyn’s virtual hospital podcast

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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

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).

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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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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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 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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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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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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