Sepsis 2015: EGDT without the “G”?

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  Sepsis has been a big topic of research over the years (understatement), and the last 18 months have seen the publication of data that has made us, once again, rethink how we approach these critically ill patients.  If you are reading this blog then it is highly likely that you are aware of the […]

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Good times part 1: DIDO-30 for STEMI

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STEMI is one of the true medical emergencies.  We all know that the sooner our patient gets revascularisation, the better they do.  We’ve known this for years.  In a very nice meta-analysis, Eric Boersma showed how the survival benefit from thrombolysis decayed exponentially with time from symptom onset.  That relationship’s so marked that if we […]

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Guess or Gestalt in Major Trauma at St.Emlyn’s

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I was recently fortunate enough to speak at the the Emergency Medicine Educators Conference in Coventry on a subject that continues to interest me, that of gestalt, judgement and clinical decision making. As I get older I increasingly realise that simply acquiring more knowledge and skills is not enough. What’s really important is how we […]

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The SWEETest Sim – Real People, High Fidelity at #SWEETs15

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  In March 2015 I invited myself to the Swedish Emergency Medicine conference SWEETs in Stockholm. It was a huge privilege to learn about EM in Sweden and to work alongside some of my favourite people. I had an absolutely amazing and exhausting time – as well as presenting on presentation skills for the Teaching […]

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Trials and Tribulations: Ross Fisher on Paediatric Trauma at the London Trauma Conference

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  You’ve probably worked out by now that the London Trauma conference was full of awesomeness and controversy. Obviously I’m biased, but I found the paediatric stream particularly engaging and I was lucky enough to be able to grab some post-talk discussion time with Ross Fisher, friend of St Emlyns and Consultant Paediatric Surgeon at […]

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