Episodes

Thursday Jun 26, 2014
Ep 6 - SMACC Back-Back on What to believe and when to change.
Thursday Jun 26, 2014
Thursday Jun 26, 2014
Hopefully 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

Wednesday Dec 03, 2014
Ep 28 - Iain and Nat preview the amazing London Trauma Conference.
Wednesday Dec 03, 2014
Wednesday Dec 03, 2014
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 :-)
S

Thursday Mar 26, 2015
Ep 43 - APLS 2015 updates for the management of the serious injured child
Thursday Mar 26, 2015
Thursday Mar 26, 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,
vb
S

Saturday Apr 18, 2015
Ep 44 - Tim Draycott on Obstetric Trauma (LTC 2014)
Saturday Apr 18, 2015
Saturday Apr 18, 2015
Iain interviews the wonderful Tim Draycott on the management of the Obstetric patient with trauma.Tim is a consultant Obstetrician from Bristol and is a great speaker on this rather terrifying topic!

Monday Apr 27, 2015
Ep 45 - Top 10 trauma papers 2014-2015.
Monday Apr 27, 2015
Monday Apr 27, 2015
A first podcast with Simon Laing from the RCEMFOAMed team. We look back at influential trauma related papers from 2014-2015.

Wednesday May 06, 2015
Ep 46 - Intro to EM: The patient with asthma
Wednesday May 06, 2015
Wednesday May 06, 2015
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.
vb
S

Wednesday Dec 30, 2015
Ep 62 - The role of paediatric surgeons in trauma with Ross Fisher (LTC)
Wednesday Dec 30, 2015
Wednesday Dec 30, 2015
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).
vb
S

Thursday Feb 04, 2016
Ep 65 - The management of Paediatric trauma in the UK with Ross Fisher
Thursday Feb 04, 2016
Thursday Feb 04, 2016
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.

Wednesday Oct 12, 2016
Ep 81 - Difficult Conversations with Children in Critical Care with Liz Crowe
Wednesday Oct 12, 2016
Wednesday Oct 12, 2016
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.

Tuesday Dec 13, 2016
Ep 85 - Top tips for chest drains.
Tuesday Dec 13, 2016
Tuesday Dec 13, 2016
This podcast accompanies the St.Emlyn's blog post on top tips for chest drainage.
http://stemlynsblog.org/chest-drain-excellence-microskills/
S

Tuesday Feb 14, 2017
Ep 88 - ED transfers. Patient, Preparation and People.
Tuesday Feb 14, 2017
Tuesday Feb 14, 2017
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

Wednesday Mar 22, 2017
Ep 90 - Top Ten Trauma Papers 2016
Wednesday Mar 22, 2017
Wednesday Mar 22, 2017
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/

Friday Oct 06, 2017
Ep 98 - Life as an EM trainee in South Africa. A panel discussion
Friday Oct 06, 2017
Friday Oct 06, 2017
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.

Wednesday Jan 24, 2018
Wednesday Jan 24, 2018
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

Sunday Apr 29, 2018
Ep 109 - The Physican Response Unit (PRU) with Rich Carden and Tony Joy
Sunday Apr 29, 2018
Sunday Apr 29, 2018
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.

Saturday Jul 21, 2018
Saturday Jul 21, 2018
Steve Playfor is an paediatric intensive care consultant at the Royal Manchester Children's Hospital here in the 'real' Virchester.
He is an expert in the management of fluid balance in children and has been instrumental in many of the changes to our attitudes, beliefs and practice around IV fluid management.
In this episode Simon and Steve discuss the somewhat crazy story of IV fluid management in kids, the pseudo-science, the custom and practice and finally the potential future of IV management.
I can guarantee that you will learn something here folks.
vb
S

Monday Oct 22, 2018
Ep 119 - September 2018 Round Up
Monday Oct 22, 2018
Monday Oct 22, 2018
Here's our round up of the best of the blog from September 2018.
The following blogs are discussed.
OOHCA and airway management. Do we need a tube? http://www.stemlynsblog.org/jc-oohca-and-airway-management-do-we-need-a-tube-st-emlyns/
The Zero Point Survey. Optimising resuscitation teams in the ED. https://www.stemlynsblog.org/jc-the-zero-point-survey-optimising-resuscitation-teams-in-the-ed-st-emlyns/
Subacute and massive PE management https://www.stemlynsblog.org/we-call-it-massiiiiiiivve-pe-at-st-emlyns/
EMS Gathering and podcast https://www.stemlynsblog.org/ems-gathering-review-and-podcast-st-emlyns/
ResusTO: A simulation/resuscitation conference like no other https://www.stemlynsblog.org/resusto-a-simulation-resuscitation-conference-like-no-other/
Monkeypox has arrived https://www.stemlynsblog.org/monkeypox-has-arrived-is-the-panic-justified-st-emlyns/
Micro Machines: Sick neonates at RATH18 https://www.stemlynsblog.org/micromachines/
Equality and Diversity in EM. What I learned as a recovering racist. https://www.stemlynsblog.org/equality-and-global-health-what-i-learned-from-being-a-recovering-racist/
StEmlyn's at EusEM (Four posts)
- https://www.stemlynsblog.org/st-emlyns-at-eusem18-day-4/
- https://www.stemlynsblog.org/st-emlyns-at-eusem18-day-3/
- https://www.stemlynsblog.org/st-emlyns-at-eusem18-day-2/
- https://www.stemlynsblog.org/st-emlyns-at-eusem18-day-1/

Tuesday Nov 13, 2018
Ep 121 - October 2018 Round Up
Tuesday Nov 13, 2018
Tuesday Nov 13, 2018
Here's our round up of the best of the blog from October 2018.
In Pursuit of Excellence with Natalie May from #stemlynsLIVE https://www.stemlynsblog.org/in-pursuit-of-excellence/
A FeminEM in NY with Natalie May Part 1. https://www.stemlynsblog.org/fix18-part-one/
JC: Cricoid Pressure, Do we still need it? Simon Carley https://www.stemlynsblog.org/jc-cricoid-pressure-and-rsi-do-we-still-need-it-st-emlyns/
Teaching and Learning in Stretched Environments with Simon Carley https://www.stemlynsblog.org/teaching-and-learning-in-stretched-environments-rsm-2018-st-emlyns/
Five free strategies to improve your resuscitations Simon Carley https://www.stemlynsblog.org/stemlynslive-five-free-strategies-to-improve-your-resuscitation-practice-st-emlyns/
PTSD and me, EMDR therapy with Rusty Carroll https://www.stemlynsblog.org/ptsd-and-me-part-3-emdr-therapy-st-emlyns/

Sunday Dec 16, 2018
Sunday Dec 16, 2018
This podcast was recorded at the Intensive Care Society State of the Art meeting in London 2018. Simon Carley interviews Prof Peter Brindley on the interface of technology, humans and humanity in critical care. The audio was recorded live and at the venue so there is a fair bit of background noise, but we hope that this does not distract from a wide ranging and fascinating podcast.

Sunday Dec 23, 2018
Ep 125 - November 2018 Round Up
Sunday Dec 23, 2018
Sunday Dec 23, 2018
November was a busy month for the St Emlyn's team with a variety of blogs on conferences, EBM, philosophy and education. Here's the podcast and the links to the blogs mentioned in November.

Sunday Feb 17, 2019
Ep 129 - January 2019 Round Up
Sunday Feb 17, 2019
Sunday Feb 17, 2019
The latest blog posts, ideas and thoughts from the St Emlyn's podcast. This month with Simon Carley and Rick Body,

Friday Mar 15, 2019
Ep 131 - South African Emergency Medicine with Kat Evans at #stemlynsLIVE
Friday Mar 15, 2019
Friday Mar 15, 2019
Last year we were honoured to bring Kat Evans to Manchester to talk at the #stemlynsLIVE conference. We've covered emergency medicine in South Africa before on the blog, but there is no substitute to hearing about it from someone who actually works there.

Saturday Apr 13, 2019
Ep 133 - February 2019 Round Up
Saturday Apr 13, 2019
Saturday Apr 13, 2019
Our regular monthly round up of the best of the blog from Feb 2019.

Wednesday Apr 24, 2019
Ep 134 - March 2019 Round Up
Wednesday Apr 24, 2019
Wednesday Apr 24, 2019
Here’s our regular monthly round up of the best of the blog from March 2019

Friday Jun 21, 2019
Ep 139 - May 2019 Round Up
Friday Jun 21, 2019
Friday Jun 21, 2019
Our regular monthly round up, this month with Ian and Simon chatting through the best of the blog.
The power of peer review: https://www.stemlynsblog.org/smacc2019-the-power-of-peer-review/
Virtual reality in PED: https://www.stemlynsblog.org/jc-virtual-reality-for-distraction-from-paediatric-procedural-pain/
Wellbeing for the broken: https://www.stemlynsblog.org/wellbeing-for-the-broken-part-3-the-podcast-st-emlyns/
Traumatic cardiac arrest https://www.stemlynsblog.org/wellbeing-for-the-broken-part-3-the-podcast-st-emlhttps://www.stemlynsblog.org/jc-should-we-use-chest-compressions-in-traumatic-cardiac-arrest-st-emlyns/
Should we cardiovert AF in the ED or wait? https://www.stemlynsblog.org/should-we-rapidly-cardiovert-af-in-the-ed-st-emlyns/
Prolonged field care in the ED https://www.stemlynsblog.org/prolonged-field-care-in-the-ed/
Keppra or Phenytoin for status epilepticus in kids https://www.stemlynsblog.org/jc-enter-sandman-which-agent-as-second-line-in-paediatric-status-epilepticus/

Thursday Jul 04, 2019
Ep 140 - GI emergencies with Chris Gray at #stemlynsLIVE
Thursday Jul 04, 2019
Thursday Jul 04, 2019
This is Chris's talk from #stemlynsLIVE on GI emergencies. Remember to check out the blog for the background, references and more.

Sunday Jul 14, 2019
Ep 141 - June 2019 Round Up
Sunday Jul 14, 2019
Sunday Jul 14, 2019
Here's our regular round up of the blog and podcast from June 2019.
Beyond ATLS https://www.stemlynsblog.org/beyond-atls-with-alan-grayson-at-stemlynslive-st-emlyns/
Traumatic Cardiac Arrest https://www.stemlynsblog.org/traumatic-cardiac-arrest-tca-podcast-with-prof-jason-smith-rn-st-emlyns/
The psychological impact of emergency medicine https://www.stemlynsblog.org/how-events-in-emergency-medicine-impact-doctors-psychological-well-being-st-emlyns/
Can we use IO aspirate for analysis https://www.stemlynsblog.org/jc-can-we-really-use-io-blood-for-analysis-st-emlyns/
Don't forget the Bubbles conference and site https://dontforgetthebubbles.com/

Tuesday Jul 23, 2019
Ep 142 - Psychological performance in the Resus Room with Ashley Liebig
Tuesday Jul 23, 2019
Tuesday Jul 23, 2019
This talk focuses on how we can optimise our psychological performance in critical care situations, the type of situations that Simon describes as Time Critical, Information light. The Audio is available below, or watch the full presentation above.
Don't forget to watch the video on the St Emlyn's site http://www.stemlynsblog.org
vb
S

Tuesday Sep 10, 2019
Ep 144 - July 2019 Round Up
Tuesday Sep 10, 2019
Tuesday Sep 10, 2019
The best from the blog and podcast in July 2019.
JC: Clot’s the Problem? Vena Cava filters in trauma patients. St Emlyn’s
Psychological performance in the resus room. Ashley Liebig at #stemlynsLIVE
JC: The Resuscitative Care Unit. St Emlyn’s
The great day paradox. St.Emlyn’s
All you need to know about Listeria. St Emlyn’s.
GI Emergencies – Chris Gray at #StEmlynsLIVE
Similar challenges, different approaches – Mass Casualty Incident training lessons from Pakistan. St Emlyn’s

Friday Sep 27, 2019
Ep 145 - The UK Resuscitationist with Dan Horner at #stemlynsLIVE
Friday Sep 27, 2019
Friday Sep 27, 2019
Our latest podcast from the #stemlynsLIVE conference last year. Dan Horner talks on the concept and potential role of the UK Resuscitationist.

Saturday Oct 05, 2019
Ep 146 - European Resus Council meeting Slovenia 2019
Saturday Oct 05, 2019
Saturday Oct 05, 2019
A vox pop round up of the best of the ERC19 conference in Slovenia.

Sunday Oct 06, 2019
Ep 147 - August 2019 Round Up
Sunday Oct 06, 2019
Sunday Oct 06, 2019
Our regular round up of the best and the brightest from the St Emlyn's blog. This is a round up of our August content.

Saturday Nov 02, 2019
Ep 149 - September 2019 Round Up
Saturday Nov 02, 2019
Saturday Nov 02, 2019
Our regular round up of the best of the blog from September 2019. A fairly quiet month for us, but some great content including a fabulous video from Cliff Reid on the Zero Point survey and on a related resus note, the concept of the UK resuscitationist with Dan Horner.

Wednesday Feb 12, 2020
Ep 154 - January 2020 Round Up
Wednesday Feb 12, 2020
Wednesday Feb 12, 2020
Iain is back on the podcast with Simon to talk through the best of the blog from January 2020.

Friday Mar 20, 2020
Ep 156 - February 2020 Round Up
Friday Mar 20, 2020
Friday Mar 20, 2020
Iain and Simon chat about the current Corona pandemic and the blog in Feb 2020.
Iain remains positive, but Simon thinks the glass is half full. Time will tell who is right (though in truth there is a lot of common ground).
S

Tuesday Mar 24, 2020
Ep 157 - ICU for the non-intensivist with Sarah Thorton
Tuesday Mar 24, 2020
Tuesday Mar 24, 2020
Simon chats to Sarah Thornton, consultant anaesthetist, intensivist and head of the NW school of anaesthesia on preparing to work in a critical care unit during the Covid-19 pandemic.

Monday Jan 16, 2023
Ep 209 - November and December 2022 Round Up
Monday Jan 16, 2023
Monday Jan 16, 2023
A special double edition covering the blog posts from November and December and more. We discuss evidence based medicine with the DoseVF trial, and more from RECOVERY, discussion about 'what is downtime' and how we organise follow up for patients who don't live in our area and what happened at the amazing London Trauma Conference
We also announced some of the plans for StEmlynsWILD. Look out for booking details and more in the coming weeks.