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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As part of our induction series we look at the management of upper GI bleeds in the ED.
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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/
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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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).
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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Iain and Liz reflect on day 3 of the SMACC Dublin Conference
Simon and Iain reflect on an emotional day at the SMACC conference in Dublin 2016
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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.
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.
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.
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).
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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.
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.
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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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 make a referral from the ED to an in patient team.
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
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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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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Day 2 and 3 at #smaccUS. Iain and Simon round up the highlights and look forward to #smaccDUB.
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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
The first day of #smacc15 was amazing. An incredible introduction and an amazing program.
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.
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.
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.
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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.
A short podcast updating the UK Advanced Paediatric Life Support (APLS) course guidelines for the management of trauma in children.
Don't forget to read the blog post here. APLS Updates: New kids on the block,
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Great stuff, controversial in places, challenging to adult dogma and always excellent.
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PS. If you ever get to hear him speak.... then do, he's awesome. Check this out.
Rick and Kirstin delve deeper into the world of Novel Oral Anti Coagulants.
Karim Brohi joins the St.Emlyn's team at the London Trauma Conference to talk on vascular injury and arterial dissection. A whole range of diagnoses that you should not miss, but which is easy to miss.
Tricky!
Check out the blog post that accompanies this podcast here.
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Live from the London Trauma Conference 2014. Iain Beardsell interviews Mark Wilson on the need for rapid response, digital technology and the GoodSAM app.
Rick Body and Kerstin de Wit discuss the role of NOACs in clinical management. Part 1 addresses the basics, stuff you should know if you are prescribing these drugs.
Part 1 tells us the good stuff, don't forget to listen to 2 and 3 in the next few weeks as not everything is perfect ;-)
Check out the BLOG POST HERE
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First of our podcasts from the London Trauma Conference.
A fantastic episode with Iain talking to Gareth Davies (from London HEMS) talking about Impact Brain Apnoea.
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St.Emlyn's
A Christmas review of the world of EM, CC and resuscitation #FOAMed.
This review is no way exclusive and focuses on sites that people may not be familiar with. Take it as read that EMCRIT, LITFL, PHARM, ICN, SGEM, EMLitofNote, ALiEM, Resus.me, KI docs, etc. are already known to be awesome. Check them out and follow the many excellent #FOAMed sites around the world.
Check out the big hitters here http://www.aliem.com/social-media-index/
There are also so many other sites that we have not mentioned, but which we regularly visit and listen to.
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Old, young, pregnant, social, airways, cricoid and dogmalysis. There is loads to catch up on from #LTC2014.
Iain and Nat take you through the day.
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Whilst I remain in Virchester healing the sick and injured, Nat and Iain are sharing the #FOAMed love at the London Trauma Conference. This is the first round up from day 1 with many highlights and a few tasters for some more podcasts to come.
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Next week Iain and Nat will be in London for the best trauma conference in the world. Join them in person, online, on the podcast and on twitter.
Check out the program here, it's amazing.
http://www.londontraumaconference.com/
Have fun :-)
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Iain Beardsell and Natalie May talk you through a wise and safe approach to the child with moderate shortness of breath. Listen and learn from the St.Emlyn's team.
The Challenge and Value of Research in Emergency Medicine: at DGINA 2014
Rick Body's talk from DGINA on the need for research in EM.
Check out the associated blog post at http://stemlynsblog.org
Iain and Simon talk about the upcoming SMACC conference in Chicago and do their very best to persuade you to come to the best conference in the world
Rick and Iain explore how the latest guidance about the use of high sensitivity troponin was developed and how far we can be assured that it is evidence based.
The NICE guidance is available here. http://www.nice.org.uk/guidance/dg15
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Iain and Simon talk through the practicalities of in situ sim in the ED. How do we make it happen in a way that works and helps individuals, teams and departments learn together.