The St.Emlyn’s virtual hospital podcast

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

St Emlyn’s review #badEMfest18

00:0000:00

Nat and Simon discuss the recent #badEMfest18 conference.

You can read more about the conference on our posts on the stemlynsblog website.

Day 1

Day 2

Day 3

Day 4... it's coming

vb

S

Acute Psychiatric Emergencies in the ED. The APEx course.

00:0000:00

This month we have a podcast on how we approach patients with mental health needs in the ED. It outlines the rationale and delivery of a change in how we manage some of the most vulnerable patients in the ED. We hope you find it interesting and I suspect you will also find it quite challenging. We are aiming to improve the care of patients with Mental Health needs, but in doing so we must face our own prejudices and practices, which are not always healthy.

Editorial note on language – as you listen to the podcast you might be surprised to hear us use words like ‘insane’ in relation to decisions and systems. In some ways it seems incongruous to use such terms in a podcast that promotes a better understanding of mental health issues. We considered taking them out, but after consideration we left them in an attempt to illustrate the false dichotomy between medical and psychiatric needs that is embedded in much of our work. Perhaps the use of language reflects this and makes the point that we can do better.

Why do we need to rethink our approach to Psychiatric emergencies in the ED?

There are a group of life threatening conditions that present to your ED that you don’t deal with, or at least you don’t deal with very well. This group of conditions has a significant mortality and an incredibly high morbidity, but if you are a typical emergency physician you probably don’t think you own the problem. This group of conditions is at least as common as chest pain and yet it’s unlikely that you feel the same level of ownership of the problem. 

The issue is of course that of psychiatric illness. In Virchester it accounts for about 1 in 20 patients through the door, and that number is much, much higher if we were to include substance abuse and its related outcomes. 

In general, the approach in many UK units is to divide the patient up on arrival into physical and mental health needs. We feel responsible for the physical problem and then we try and offload any psychiatric problems onto the psychiatrists and mental health teams. At the centre of this is the patient who really does not see or feel this dichotomy and we really need to challenge our approach to this.

Such dichotomies are embedded in our systems. I’m sure that many readers will be familiar with the request to ‘medically clear’ a patient in order that they can then be assessed by the mental health team. Bizareer customs and practice take place around these assessments, for example in Virchester the rule that a patient with a heart rate of more than 100 cannot be medically fit for assessment is sometimes used to decline psychiatric assessment. Such informal rules (none are actually written down or appear in any agreed protocol) result in delayed assessments, patient distress and long waits in the ED. I could go on, and whilst there is good and practice amongst all teams and specialities (we are just as bad at the mental health teams in promoting this dichotomy), the point is that we really don’t act in the patient’s best interests by dividing mental and physical health.

This clear difficulty was one of the starting points for the APEX course, which aims to bring psychiatry and emergency medicine together for the benefit of patients, services and staff. 

The interview on the podcast is recorded with Prof. Kevin Mackway-Jones who many of you will know through his work with the Advanced Life Support Group. He was the instigator of APLS at a time when there was a clear need for emergency physicians to improve their approach and knowledge of paediatric emergencies. APEx feels the same. A common condition in our EDs for which we are not currently doing the best that we can for our patients and where a joint teaching and learning approach is needed between the ‘tribes’ of medicine.

This could be a game changer to how we manage a very common and very vulnerable group of patients in the ED.

So what’s on the course?

I can’t give you the whole courses here but there are a few principles that underpin the content and approach.

Key points.

  1. It’s co-written and developed between psychiatry and emergency medicine
  2. It’s a symptom based approach (just like APLS) and so it deals with how we deal with the presenting complaint first and not the underlying diagnosis (as you may not know what this is when you are dealing with the patient).
  3. The approach will be familiar to many Eps.
  4. Primary Survey
  5. Resuscitation
  6. Secondary Survey
  7. Definitive management
  8. There is a unified approach. The patient needs an ABC approach for physical health, but in addition and concurrently they also need the AEIOU approach.
    1. A – Assessment of Aggression and Agitation
    2. E – The Environment in which you are assessing the patient
    3. I – The Intent of the patient
    4. O – The Objects the patient has to carry out the intent
    5. U – The Unified assessment (as you will also be carrying out an ABC assessment alongside AEIOU)
  9. Rapid tranquilisation is a key conern for EPs and so there is lots on this that does not automatically default to restraint, a needle and syringe and a significant risk.
    1. Oral tranquilisation works
    2. Ketamine is not the answer to every patient
    3. It’s a risk based approach as every intervention (including no intervention) has a risk

Find out more

You can find out more on the ALSG website here.

What has APEx got to do with St Emlyn’s?

At St Emlyn’s we are letting you know about the course for several reasons. Many of us teach and support the work of the ALSG charity (for free and because we believe in it), but also that we all believe that the care of patients with mental health needs can be improved. They are a vulnerable group who generally get a bad deal when they present in crisis to emergency departments. We know we can do better and we believe that this course will help us achieve our goal to do the best that we can for our patients.

APEX Course information.

 

S

@EMManchester

 

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

00:0000:00

Simon and Iain talk through what the team has been up to in April. All the blogs should be on the website and of course you can subscribe to the podcast via iTunes or via PodBean.

Key publications in April.

1. Our e-book on health and wellbeing for the resuscitationist. http://stemlynsblog.org/the-resuscitationists-guide-to-health-and-wellbeing-a-st-emlyns-e-book/

2. Police drop offs for penetrating trauma in the US. http://stemlynsblog.org/to-protect-and-serveand-drop-off-st-emlyns/

3. The latest blogs on the amazing #badEMfest18 conference in South Africa http://stemlynsblog.org/bademfest18-day-3-st-emlyns/

4. The top 10 trauma papers of the year http://stemlynsblog.org/top-10-trauma-papers-2017-2018-for-traumacareuk-conference-st-emlyns/

5. Complications of anticoagulation http://stemlynsblog.org/complications-of-anticoagulation-and-how-to-manage-them-st-emlyns/

6. Trauma CT in kids http://stemlynsblog.org/jc-trauma-paediatric-wbct/

7. The folly of dichotomous diagnosis http://stemlynsblog.org/50-shades-black-white-folly-dichotomy/

8. Bonded in Blood with Ashley Liebig and Noah Gallagher http://stemlynsblog.org/bonded-in-blood/

9. How to coach your team and the Austrian EM conference http://stemlynsblog.org/how-to-coach-feedback-team-st-emlyns/

Gosh, when you write it down and think about all the work the rest of the team puts in to teach and learn it makes me kind of proud. Don't forget to join us later this year for the live version at #stemlyneLIVE in Manchester.

S

May 17, 2018  

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

00:0000:00

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

00:0000:00

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.

00:0000:00

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

Simon Carley

April 2, 2018  

St Emlyn’s January 2018 in review

00:0000:00

Iain and Simon round up the blog posts from January 2018. You can listen to the podcast below. Links to all the blog posts mentioned are listed below.

Review of 2017. St.Emlyn’s

As 2017 ends and we look forward to 2018 it’s time to reflect on a year with the St.Emlyn’s team. Despite our chronological and geographical dispersal it’s really felt like a team effort in 2017. We have travelled, learned, listened,…
Read more

JC: Devastating Brain Injury. Complex decisions in the resus room. St.Emlyn’sDBI devaststing brain injury stemlyns

Social media can sometimes give the impression that all is rosy in the world of resuscitation. We hear of the amazing saves, the wonders of ECMO, helicopters and heroic acts with great outcomes, but the reality is of course very…
Read more

 

[caption id="attachment_31228" align="alignleft" width="300"]nemc18 northern emergency medicine conference[/caption]

St.Emlyn’s goes further north – NEM Conference #NEMC18

It’s the second time I’ve been to the Northern Emergency Medicine conference, this year held in the sunny city of Durham. I say sunny… I needed my jacket. Last year’s programme was great and included some fantastic speakers, including our…
Read more

 

JC: Can I safely discharge dizzy patients from the ED?

  Last month, I came across a clinical review published in the Annals of Emergency Medicine1 that got me really excited! It got me excited (in a geeky professional sense of course…) as it covered a topic that causes significant…
Read more

On Reflection

On Reflection I’ve been reflecting on reflection for some time now, at least since I started formally collecting my lessons from Sydney HEMS and probably even before that, because this sort of meta nonsense is something medical education enthusiasts like…
Read more

CRYOSTAT-2 with Ross Davenport

You might be aware that an exciting new trial has started called Cryostat-2.  This is exciting as it has the potential to improve patient outcomes, but also because it will involve all the Major Trauma Centres in England and 8…
Read more

The End of the ‘Roid? JC: ADRENAL

So another year, another Critical Care Reviews meeting. Rob is doing an absolutely fantastic job with these, inviting lead authors from major critical care trials to present and defend their work. In fact, this is going so well that this…
Read more

 

 

Belgian EM at BeSEDiM 2018.

Last weekend, the BeSEDiM (Belgian Society of Emergency and Disaster Medicine) organised their annual symposium. It is the scientific organization of the Belgian emergency physicians with Said Idrissi as chairman. 13 years ago, Belgian Emergency medicine was born as a…
Read more

 

Is there anything else I need to know? Working in Africa.

This is a guest post from our good friend Stevan Bruijns aka @codingbrown Stevan has been an advocate of international emergency medicine for many years and he, like us feels that there is much that high income countries can do…
Read more

 

 

 

 

 

vb

S

@EMManchester

Before you go please don’t forget to…

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

00:0000:00

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.

00:0000:00

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.

00:0000:00

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

00:0000:00

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.

00:0000:00

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.

00:0000:00

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.

00:0000:00

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

00:0000:00

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

00:0000:00

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.

00:0000:00

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

00:0000:00

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

00:0000:00

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.

00:0000:00

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

00:0000:00

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.

00:0000:00

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.

00:0000:00

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.

00:0000:00

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

00:0000:00

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

00:0000:00

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

00:0000:00

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.

00:0000:00

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

00:0000:00

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

00:0000:00

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

January 6, 2017  

CAN 5 Journal Clubs

00:0000:00

Setting up a really great journal club.

December 13, 2016  

Top tips for chest drains.

00:0000:00

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

00:0000:00

Another Critical Appraisal Nugget on why analysis by intention to treat is so important.

TTC NYC Round Up

00:0000:00

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.

00:0000:00

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

00:0000:00

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

00:0000:00

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

00:0000:00

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

00:0000:00

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

00:0000:00

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.

00:0000:00

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

00:0000:00

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

00:0000:00

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

00:0000:00

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.

00:0000:00

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

00:0000:00

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.

00:0000:00

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

00:0000:00

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

00:0000:00

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