The St.Emlyn’s virtual hospital podcast

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June 29, 2014  

Delving into the Number Needed To Treat, RRR and ARR. Why we love natural frequencies. St.Emlyn’s

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Iain and Simon chat about how we can start to translate research findings in to natural frequency summaries that help clinicians and patients alike understand the value of therapeutic interventions.

The NNT site we mention is just fantastic. Visit them here http://www.thennt.com/
Great revision page here by the amazing LITFL crew http://lifeinthefastlane.com/education/ccc/risk-and-numbers-needed-to-treat/

The NNT for tranexamic acid is 67 not 50.

S

June 26, 2014  

SMACC Back-Back on What to believe and when to change.

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spockkirk.jpegHopefully you will have already seen and listened to my SMACC talk on 'What to believe and when to change'. If not then please whizz over to the site now and have a listen. I really enjoyed exploring the uncertainties that exist around when we decide to adopt or abandon therapies.

My belief is that it's really difficult to define the perfect moment and that it's only in retrospect that we can define it.

Since appearing on the ICN network and St.Emlyn's, Scott Weingart, one of the best and most innovative clinicians I know has come back and argued for early adoption. You can check out his rationale on his site and see what you think.

I actually agree with many of the things he tells us, although he has confined himself to one side of the argument. In terms of a defence of early adoption he makes a good case, but like all debates there needs to be another side to the story, so sit back and listen to why we must reflect hard on the decisions we make in deciding what we do, why we do it, and most importantly when.

vb

S

June 22, 2014  

Understanding diagnostics 3. Why prevalence helps us stay in practice. St.Emlyn’s

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Iain and Simon tackle the effect of prevalence on diagnostic performance. Mrs Trellis of North Wales makes a return appearance to discuss the delicate issues of sensitivity and Rick Body joins us by mail to raise concerns about the difficulties of missing patients with myocardial disease.

Listen and enjoy, visit the blog site and keep in touch.

Don't forget to subscribe to the podcast via iTunes, to subscribe to the blog site and to like us on facebook.

vb

S

June 15, 2014  

Diagnostics 2. Beyond simple yes vs no diagnostics. St.Emlyn’s

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Dear all,

It would appear that the organ member was correct and we cannot be certain about the organ pipes. Apparently there are doubts about whether they are safe or need replacing. 
We will once again turn to Dr Beardsell and Prof. Carley to see if there is anything more that we can do. As I am due to allocate funds for repairs to musical instruments this year then we must ensure that these are spent wisely. 
If there is a less than 2% chance of failure we will wait. If there is a greater than 50% chance of failure then we should spend the money. 
The situation is uncertain and we need help.
I have the honour to be et. etc. etc.
The Choirmaster at St.Emlyn's
June 10, 2014  

Understanding diagnostics 1. SNout SpIn and Probability. St.Emlyn’s

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Dear all, 

Mr S. Pecifity the Verger has asked for clarification on whether or not the pipes in the organ need replacing. He was most dissapointed at the report from OrgansRUs which stated that the answer depended on how sure Mr Pecificity was that they needed replacing before they were asked. 
I agree that this answer clearly makes no sense at all and so I have decided to investigate the matter further. 
As I understand it, the best analogies to explain the answer lie in the realm of medicine and so it is to Dr Beardsell and Prof Carley that we must turn.
Gentlemen,
I have the honour to be your most worshipful servant etc.
The Choirmaster of St.Emlyn's
June 4, 2014  

SMACC Chicago. St.Emlyn’s

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The St.Emlyn's choirmaster has asked Iain and Simon to deliver a sermon on the importance of attending the SMACC Chicago conference in May 2015. After their pilgrimages to Australia in 2013 and 2014 they came back enthused and at times rather annoying about how jolly marvellous it all was. 

We felt that it was important for them to share their thoughts and to ask if anyone wishes to join them on their planned trip to the Northern Americas next year. AS Choirmaster at St.Emlyn's I have reluctantly decided to give them some air time.
I have the honour to be, as always, your most dutiful servants.
Yours etc.
The St.Emlyn's Choirmaster
June 2, 2014  

St.Emlyn’s the podcast.

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Welcome to the St.Emlyn's podcast. After a few years messing around with the blog at stemlynsblog.org the Choirmaster at St.Emlyn's has decided that some audio contributions are necessary. We will therefore be relaunching the podcast in a uniquely British way.

Please, put the kettle on, make yourself a nice cup of tea (I recommend Lady Grey or Gunpowder), sit back, relax and listen*.
Congo will take place every couple of weeks so keep checking iTunes for this weeks order of service.
We have the honour to be, always, your most faithful servants.
Yours etc.
The Choirmaster at St.Emlyn's
*If you are listening to this podcast whilst driving do not put the kettle on....