Show Me The Money: Coding at St.Emlyn’s

St Emlyns - Meducation in Virchester #FOAMed

Have you ever wondered how it is that your hospital gets paid for the work you do? Perhaps you think that this isn’t relevant to you? Well, in this podcast we discuss how hospitals in England are remunerated for the patients they see in there EDs and why we, as clinicians, should do everything we […]

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New NICE high sensitivity troponin guidance: 3 hours and done?

St Emlyns - Meducation in Virchester #FOAMed

The National Institute for Health and Care Excellence (NICE) from the UK has just published new recommendations for the use of high sensitivity troponin to rule out NSTEMI in the Emergency Department.  You can find it at this link.  I was honoured to be part of the team looking at this, as a specialist advisor. […]

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Hide And Seek: Button Batteries in the Emergency Department

St Emlyns - Meducation in Virchester #FOAMed

We see lots of kids presenting to the ED with “things” where they shouldn’t be (we see adults too, sometimes – but that’s a whole set of different stories).  Foreign bodies show up in all sorts of forms in all sorts of places, typically in the preschool and early school age kids who display a potentially […]

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Q&A with a Virologist: Ebola in the ED at St.Emlyn’s

St Emlyns - Meducation in Virchester #FOAMed

This week Sarah Payne from the North East of England joins St.Emlyn’s. Sarah is no stranger to blogging and is a keen #FOAMed advocate as her bio below clearly shows. Specialty trainee in Emergency Medicine in the Northern region, currently out of program as a Simulation Teaching Fellow across the Newcastle Hospitals trust and Associate […]

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Acute Heart Failure guidance. Nice, NICE or Not? St.Emlyn’s

St Emlyns - Meducation in Virchester #FOAMed

It’s fair to say we quite like a guideline here at StE’s. We have, probably like your ED, evidence-based clinical decision support guidelines for common (think cardiac chest pain and ?PE) and not so common (think porphyria) conditions with the intention of speeding decision-making, delivering safer care and reducing waste on unnecessary admissions and tests. […]

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JC: Should USS be first investigation for renal colic? St.Emlyn’s

St Emlyns - Meducation in Virchester #FOAMed

A few years ago I was asked to see a patient in the rapid assessment unit with severe pain in the flank. She looked as though she had renal colic and we instituted the usual management, most notably analgesia with IV NSAIDs and eventually opiates. At the time I was firmly on the learning curve […]

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