The Gospel According to NICE- Chest Pain of Recent Onset: Assessment and Diagnosis. Updated Guideline 2016. In November 2016, at a grand gala dinner at NICE HQ, the updated chest pain guidelines were released . The update was accompanied by fireworks, dancing girls and a clamour on social media. Emergency Departments were tearing up their [...]
So it's that time of year when we try and wind down and take stock of what's gone on over the last 12 months and make plans for the next year ahead....the problem being that workload does anything but decrease over the festive period in Emergency Care! So we thought we'd save you the hard yards [...]
As the years tick by our healthcare systems work harder and harder to ensure that acute coronary syndromes are picked up as they present to our Emergency Departments, the evolution of high sensitivity troponins and their application have been key to this. The utility of a test however is dependant upon it's application to the [...]
So my talk at the ICS SOA 2016 conference on whether ED should be allowed to intubate certainly provoked some discussion, which was fortunate as it was the purpose of the talk! If you haven't listened to it yet, stop reading this and have a listen to the talk here first. In this quick debrief between Rob and myself we [...]
Prehospital Physician-provided prehospital critical care, effect on patient physiology dynamics and on-scene time. Reid BO, et al. Eur J Emerg Med. 2016. Information handoff and outcomes of critically ill patients transferred between hospitals. Usher MG, et al. J Crit Care. 2016. Bi-manual proximal external aortic compression after major abdominal-pelvic trauma and during ambulance transfer: [...]
RSI delivered by EM clinicians is common place throughout the globe, in the UK however it still seems a contentious topic, with recent data showing only 20% of ED RSIs being performed by EM clinicians. I was lucky enough to be asked to talk at the ICS SoA 2016 conference on the topic of EM [...]
Welcome to December's Papers of the month where we'll be looking at recent papers that have caught our eye. First up, what happens when clinicians override clinical decision rules for PE? Are we better than the the rules? Next we have a look at a review article that runs through the back ground literature on [...]
Patients frequently present to the Emergency Department either with direct concern following an upper gastro intestinal bleed, or with a history that points towards the diagnosis. When these patients are haemodynamically unstable or with ongoing high volume bleeding the decision to admit or discharge is simple. But when the episode has settled, deciding whether they are safe [...]
It's never long before the topic of pulmonary embolism makes it back into the controversial lime light and a recent paper on the association of PE with syncope is the lastest reason. The PESIT trial, just published in the New England Journal of Medicine certainly grabs your attention when you read the abstract, with the [...]
The Gospel According to NICE- Chest Pain of Recent Onset: Assessment and Diagnosis. Updated Guideline 2016. In November 2016, at a grand gala dinner at NICE HQ, the updated chest pain guidelines were released . The update was accompanied by fireworks, dancing girls and a clamour on social media. Emergency Departments were tearing up their [...] 
So it's that time of year when we try and wind down and take stock of what's gone on over the last 12 months and make plans for the next year ahead....the problem being that workload does anything but decrease over the festive period in Emergency Care! So we thought we'd save you the hard yards [...] 
As the years tick by our healthcare systems work harder and harder to ensure that acute coronary syndromes are picked up as they present to our Emergency Departments, the evolution of high sensitivity troponins and their application have been key to this. The utility of a test however is dependant upon it's application to the [...] 
So my talk at the ICS SOA 2016 conference on whether ED should be allowed to intubate certainly provoked some discussion, which was fortunate as it was the purpose of the talk! If you haven't listened to it yet, stop reading this and have a listen to the talk here first. In this quick debrief between Rob and myself we [...] 
Prehospital Physician-provided prehospital critical care, effect on patient physiology dynamics and on-scene time. Reid BO, et al. Eur J Emerg Med. 2016. Information handoff and outcomes of critically ill patients transferred between hospitals. Usher MG, et al. J Crit Care. 2016. Bi-manual proximal external aortic compression after major abdominal-pelvic trauma and during ambulance transfer: [...] 
RSI delivered by EM clinicians is common place throughout the globe, in the UK however it still seems a contentious topic, with recent data showing only 20% of ED RSIs being performed by EM clinicians. I was lucky enough to be asked to talk at the ICS SoA 2016 conference on the topic of EM [...] 
Welcome to December's Papers of the month where we'll be looking at recent papers that have caught our eye. First up, what happens when clinicians override clinical decision rules for PE? Are we better than the the rules? Next we have a look at a review article that runs through the back ground literature on [...] 
Patients frequently present to the Emergency Department either with direct concern following an upper gastro intestinal bleed, or with a history that points towards the diagnosis. When these patients are haemodynamically unstable or with ongoing high volume bleeding the decision to admit or discharge is simple. But when the episode has settled, deciding whether they are safe [...] 
It's never long before the topic of pulmonary embolism makes it back into the controversial lime light and a recent paper on the association of PE with syncope is the lastest reason. The PESIT trial, just published in the New England Journal of Medicine certainly grabs your attention when you read the abstract, with the [...]