JC: Drinking From the Firehose – Keeping Up with the Literature

St Emlyns - Meducation in Virchester #FOAMed

You’ve probably heard the claim that the body of scientific knowledge is growing at an alarming rate – doubling every 9 years is a recent estimate. It’s easy to hear your colleagues chatting about recent publications as if they’re the new Taylor Swift song (something you’ve never even heard of, unless you’re a Carley) and feel […]

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JC: ED RSI – you can do it. St.Emlyn’s

St Emlyns - Meducation in Virchester #FOAMed

If you follow my twitter feed, or the feed of the @stemlyns team then you will know that we are advocates of ED RSI. Our patients often present unexpectedly, in extremis and with airway compromise. Resuscitation begins with A for airway so if you envisage yourself as a resuscitationist then many of us believe that […]

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Save Yourself Earache – Antibiotics and Otitis Media in the ED

St Emlyns - Meducation in Virchester #FOAMed

When I was a medical student a friend of mine completed a special study module in ENT which involved a case-based, evidence-based essay on a clinical topic of his choice. He chose acute otitis media. “How exciting!” you might (not) think. Fast forward to today and in PED I continue to be amazed by the […]

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JC: Getting the Balance Right: The PROPPR Trial

St Emlyns - Meducation in Virchester #FOAMed

  Last week saw the publication of the results of the Pragmatic Randomised Optimal Platelet and Plasma Ratios (PROPPR) Trial by Holcomb et al. (et al. includes almost all of the big names in massive transfusion in trauma!). It would be remiss of me not to mention the much-cited fact that 40% of traumatic deaths […]

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Karim Brohi on Vascular Injury at the London Trauma Conference

St Emlyns - Meducation in Virchester #FOAMed

No conversation about the evolution of trauma care in the UK is complete without a mention of Karim Brohi, Vascular and Trauma Surgeon, Professor of Trauma Sciences, friend of St Emlyn’s and all-round nice chap. His site trauma.org was sharing FOAM for 18 years before it was even called FOAM and he is a fantastic example of how social […]

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The MACS rule: a new user-friendly version

St Emlyns - Meducation in Virchester #FOAMed

This blog post is based on a paper we’ve just had published in the Emergency Medicine Journal entitled: ‘The Manchester Acute Coronary Syndromes (MACS) decision rule: validation with a new automated assay for heart-type fatty acid binding protein’.  You can find the full text at this link. In May last year we (Simon and I, […]

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