In some ways you might be forgiven for thinking that 2014 was a bit disappointing in terms of EBM. A number of clinical trials that I’ve been looking forward to for some time have in effect produced negative results. Early goal directed therapy, target blood pressures for sepsis, hypothermia for post cardiac arrest patients […]
One of the most awesome developments at St. Emlyn’s over the last year or so has been the St. Emlyn’s events that we’ve started running. The godfather of #FOAM himself, Joe Lex, was our first ever Visiting Professor last year, and he gave an amazing talk to inspire us all. He followed that up with a return visit […]
On 7th November this year I was hugely honoured to give two invited talks at the annual conference of the German national society for Emergency Medicine – DGINA 2014 in Nuremberg. This conference was organised by an awesome team of emergency physicians from Germany led by Michael Christ, author at the amazing DGINA blog. If […]
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If you’re a #FOAMed fan then you will have come across the term Gestalt quite a lot in recent months. Many conversations about clinical decisions hinge around this elusive, slippery and somewhat obscure term. Perhaps it is in a rather circular manner something that is difficult to define, yet we know it when we see […]
Some time ago I was teaching our foundation (most junior) doctors about sepsis with a focus on the interpretation of blood gases. The teaching session ran along the usual lines of normal ranges, basic physiology and a few cases for discussion. All seemed to go well, but I was left with the impression that the […]
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In a rather strange co-incidence two articles landed on my desk this soggy Sunday morning. Firstly we have an RCT of intra-arrest therapeutic hypothermia published in Intensive Care Medicine. Secondly we have the ‘cool car‘. Now I like science and I also like cars and so we really need to look at this in more […]
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