The St.Emlyn's Podcast

Ep 52 - Managing grief in the ED with Liz Crowe

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

Ep 53 - Day 2 and 3 Round Up (SMACCUS)

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

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Ep 54 - A tribute to John Hinds

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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Ep 54 - Intro to EM: Analgesia in the ED.

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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Ep 55 - Communicating (not Breaking) Bad News with Liz Crowe

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

Ep 56 - Intro to EM: How to refer a patient

How to make a referral from the ED to an in patient team.

Iain and Simon give you tips on making it great.

Ep 57 - When things go wrong - the difficult conversation

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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Ep 58 - Clinical Judgement for the Emergency Physician

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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Ep 59 - Lessons learned from the November Paris attacks with Youri Yordanov

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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Ep 60 - Londoon Trauma Conference 2015 Day 1 Summary

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.

Ep 61 - Londoon Trauma Conference 2015 Day 2 Summary

Our summary of Day 2 of the excellent London Trauma Conference. A unique threesome from Nat, Simon and Iain.....

Ep 61 - Grief at Christmas with Liz Crowe

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.

Ep 62 - The role of paediatric surgeons in trauma with Ross Fisher (LTC)

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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Ep 63 - The Role of UK Trauma Units with Tim Coates (LTC)

Iain Beardsell joins Tim Coats, chair of the UK Trauma Audit Network, to discuss the role of trauma units within major trauma networks.

Ep 64 - International Meeting for Simulation in Healthcarewith Sandra Viggers and Vic Brazil

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.

Ep 65 - The management of Paediatric trauma in the UK with Ross Fisher

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.

Ep 66 - When Professional and Personal Worlds Collide with Liz Crowe

Iain and Liz discuss boundaries and medicine. What do you do when your personal life impacts on your clinical practice. 

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Ep 67 - Intro to EM: Sepsis

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

Ep 68 - An Englishman in South Africa with Robert Lloyd

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.

Ep 69 - SMACC Dublin Day 1 Round Up

Simon and Iain reflect on an emotional day at the SMACC conference in Dublin 2016

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Ep - 70 SMACC Dublin Day 2 Round Up.

Nat and Iain round up day 2 at SMACC Dublin

Ep - 71 SMACC Dublin Day 3 Round Up

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

Ep 72 - Wellbeing with Liz Crowe

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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Ep 73 - ED Handover in the resus room: A panel discussion at SMACC DUB. (Part 1)

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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Ep 74 - ED Handover in the resus room: A panel discussion at SMACC DUB. (Part 2)

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.

Ep 75 - Critical Appraisal Nugget 1: Randomisation

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).

Ep 76 - Communication workshop with Liz Crowe (SMACC DUB)

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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Ep 77 - Critical Appraisal Nugget 2: Blinding and Masking in clinical trials

Rick and Simon talk blinding (and masking) for your critical appraisal delight.

See more at http://stemlynsblog.org/cans-critical-appraisal-nuggets-st-emlyns/

Ep 78 - Intro to EM: Upper GI bleeding

As part of our induction series we look at the management of upper GI bleeds in the ED.

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Ep 79 - Critical Appraisal Nugget: Selection Bias

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".

Ep 80 - EuSEM Half Time Talk

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.

Ep 81 - Difficult Conversations with Children in Critical Care with Liz Crowe

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.

Ep 82 - Apparent Life Threatening Events in Babies

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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Ep 83 - The Teaching Course in NYC Round Up

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)

Ep 84 - Critical Appraisal Nugget 4: Intention to Treat

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

Ep 85 - Top tips for chest drains.

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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Ep 86 - Critical Appraisal Nugget 5: Journal Clubs

Setting up a really great journal club.

Ep 87 - Critical Appraisal Nugget 6: Retrospective and Prospective studies

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

Ep 88 - ED transfers. Patient, Preparation and People.

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

Ep 89 - March 2017 Round Up

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.

Ep 90 - Top Ten Trauma Papers 2016

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/

 

 

Ep 91 - Critical Appraisal Nugget 7: Relative risk, Absolute risk and NNT in 5 minutes

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/

 

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Ep 92 - The Teaching Course Copenhagen Day 1

Nat, Simon and Ash discuss day one of The Teaching Course in Copenhagen.

EMZen, wellness, icebreakers and feedback.

Ep 93 - The Teaching Course Copenhagen Day 2

Chris Nickson, Natalie May and Simon Carley discuss simulation and educational theory on day 2 of the teaching course.

Ep 94 - The Teaching Course Copenhagen Day 3

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).

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Ep 95 - Burnout in Critical Care with Liz Crowe

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.

Ep 95 - Non accidental injury in the ED.

This podcast links to a previous blog on St.Emlyns which you can find here.

Thinking the unthinkable.

 

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Ep 96 - Everybody's free - Top Tips for the Class of 2017

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.

Ep 97 - Foreskins: A PED primer with Ross Fisher

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.

Ep 98 - Life as an EM trainee in South Africa. A panel discussion

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.