Up-to-date links and news from your emergency room colleagues
Really good update from the Manchester crew!
stemlynsblog.org Update to tetanus prophylaxis guidelines in 2018. More emphasis on repeat boosters in adults. Change to high risk and tetanus prone criteria.
Excellent resources from RCEMLearning Blogs
itunes.apple.com Read a free sample or buy RCEMLearning Induction book 2 by RCEM, Learning. You can read this book with iBooks on your iPhone, iPad, iPod touch or Mac.
Haven’t read the full paper but the abstract is interesting.
Probably should be referring to HIGH and LOW potassium , rather than HYPER and HYPO kalaemia!
Editor's note: Have you ever wondered that you might be in some sort of weird game in the ED? The thought that perhaps we are are players in a strange, complex and seemingly uncontrollable system of rules, outputs, scores and results (none of which are actually that clear to be honest). Well maybe you're right. In this post on game theory, Craig Ferguson explores why managing the ED might well be a game, but one in which the rules are far more complex than they might first appear. [ 1,694 more word ]
As discussed at today's tackling trauma meeting. The Mersey Burns app is an excellent resource.
Useful learning from resus.me
Top Tips for ED working
Excellent Opportunities For EM Clinical Fellows in Cornwall
jobs.nhs.uk Location: Truro, Salary: £30,605 to £48,123 pa
rebelem.com The REALITY-AHF trial had the primary goal of evaluating the association of door to furosemide time in the treatment of AHF & clinical outcomes
When receiving the patient with potential major trauma, a well-rehearsed, standardised way of preparing them for assessment is required. Taking a stepwise approach to Trauma Team tasks is slow and wasteful: the Trauma Team should perform tasks concurrently (in parallel) in order to be efficient and effective.
Once the patient's clothing has been removed safely and swiftly, the team can perform these 4 essential tasks concurrently and be ready to move to the CT scanner or operating theatre within 10-15 minutes of patient arrival:
Primary Survey assessment,
IV access and blood sampling,
chest and pelvic x-rays (if indicated).
This video demonstrates the Royal Cornwall ED "disrobing procedure" (a.k.a. the "kit off" procedure). We are aware that the video needs a little more polish but it is an accurate demonstration of the team roles in the first 2-3minutes after patient arrival. Please watch it carefully and imagine yourself in the place of one of the team members: what are your movements, what are you anticipating to happen next, where would you find the equipment you are using? You are aiming to be able to do your tasks with the minimum of movement or talking. Alongside the video, the laminated role-specific pre-arrival checklists (labelled Doctor 1/2, Nurse 1/2, etc.) should be read so that you understand your role in detail. We will be having brief daily practice sessions starting 13th November and will be looking to find the team who can do this the best!
When receiving the patient with potential major trauma, a well-rehearsed, standardised way of preparing them for assessment is required. Taking a stepwise ap...
This week we have released the first e-book from the St.Emlyn's team. You can get the book in two different formats. Download the book from iTunes by clicking on this link Download the book in pdf format from Research Gate using this link. Why have we done this? Like many bloggers in the #FOAMed world we have found that content naturally falls into themes. [ 831 more words ]
Don’t forget the bubbles” is a new paediatric conference held in Oz with a strong EM flavour. Check out their x-ray revision guides: http://dontforgetthebubbles.com/x-ray-interpretation/ something for everyone – do you know your Insall-Salvatti index?
And some great quick-reference notes: how long does a child with hand-foot-and-mouth need to stay off school? How many airline flights does a head CT equal?
dontforgetthebubbles.com Ankle x-rays Knee x-rays Elbow x-rays (and CRITOE) Facial bone x-rays Mandible x-rays
Powerful and thought provoking.
resus.me All Updates The Myth of Error-Free August 24, 2017 Cliff 4 Comments This guest post from a fellow retrieval clinician contains a powerful message for us all. We have a responsibility to recognise the inevitability of clinician error, and to develop systems within our organisations to support those i...
The resus room October paper review is worth a listen. Topics include USS in fluid resuscitation, hyperoxia in ACS and distractions in resus.
Give patients realistic expectations post head injury.
Celebrating 50 years of Emergency Medicine. Thank you to Mr Jonathan Wyatt for a fantastic presentation on the history of EM. Also great to see Mr Paul Howarth, another EM hero! #EM50
rebelem.com The YEARS study aims to present a simplified algorithm for evaluation with a two-tiered D-dimer threshold to reduce the numbers of CTPA in all age groups
Another article from Rebel EM. Do we really need to worry about contrast and kidneys?
rebelem.com Use of IV contrast can help increase visualization of pathology, however many patients do not get IV contrast due to fear of contrast induced nephropathy.
Tips on how to literature search in EM.
An excellent review of pulmonary physiology. Do we really need to be careful with supplemental O2 in COPD patients?
rebelem.com Does hyperoxia suppress a COPD patient’s respiratory drive? Does it cause V/Q mismatching? Does it change the chemistry of the patient’s blood through the Haldane effect?
rolobotrambles.com This is the 175th #WILTW The concept of ‘in-reach’ is an inflammatory nidus of debate between hospital teams. If a patient is admitted from an Emergency Department, but no ward bed is a…
An excellent conference for anyone with an interest in Emergency Medicine (and skiing....or at least apres-ski)
skiedconference.com The SKIED conference is for Emergency Medicine doctors, to promote sustainability, knowledge and inspiration for doctors working in the Emergency Department. SKIEDconference 2017 will take place at Chalet hotel St Christoph, Austria. Book for SKIED on the website.
This is "Final Film 13 March" by Clinical Media Centre on Vimeo, the home for high quality videos and the people who love them.
rebelem.com Should You Prescribe Oral Thiamine for Chronic Alcoholics?
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Using the force in EM. A brief look at bias, heuristics and gestalt. Why you should "go with your gut".
rolobotrambles.com This is the 173rd #WILTW I suspect the following rings true for many in medicine. It inspired this movie related response… … which then spawned an inevitable flurry of similar Star Wars…
An excellent reflective piece by Cliff Reid.
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This is the new official page for the Three Spires Medical Practice in Truro. Please like this page to get the latest updates
Liesje Cochrane I am a qualified homeopath Specialising in Autism https://www.youtube.com/watch?v=e2QWLBfdP6o
The page is about Healthcare
Welcome to my Forever page. Please ask any questions about products, or the chance to work part time from home for a fabulous lifestyle.
Aesthetics clinic offering various treatments inc Anti-Wrinkle & Dermal Fillers. Skincare treatments & products. Laser Hair Removal. Doctor & Nurse run.
Experts in Varicose Vein and Threadvein Treatment. All treatments are carried out under local anaesthetic with no cuts, no stitches on a walk in walk out basis.
http://onewomantoanother.com Dr Annie's particular interest is the changing female hormonal environment especially PMS, the perimenopause, postmenopausal problems, HRT and loss of libido.
Welcome to The Cornwall Urology Clinic. Mr Nic Munro PhD FRCS (Urol) undertakes private practice and NHS surgery including vasectomy reversal.