The St.Emlyn’s Podcast

The Crucial Role of Accurate Coding in Emergency Medicine: Insights from St Emlyns Welcome to the St Emlyns blog! Today, we dive into a topic often overlooked but crucial to the functioning and financial health of emergency departments (ED): coding. This subject might not have the drama of resuscitations or surgical interventions, but it significantly impacts how we are perceived and funded. In th...

Rick and Iain explore how the latest guidance about the use of high sensitivity troponin was developed and how far we can be assured that it is evidence based. The NICE guidance is available here. http://www.nice.org.uk/guidance/dg15 vb S

In Situ Simulation in Emergency Medicine: Insights from St. Emlyn's Welcome to the St. Emlyn's blog. I'm Ian Beardsell, and I'm Simon Carley. Today, we're exploring in situ simulation, a vital method for improving patient care and team efficiency in emergency medicine. I'll be discussing this at UCEM, and we want to share our insights on implementing it effectively in your department. What is In S...

Mastering the Art of Presentation: Insights from St. Emlyns and Victoria Brasile Welcome to the St. Emlyns blog! I'm Iain Beardsell, and today, we're diving into a recent enlightening session with the rest of the St. Emlyns team—Simon, Nat, and Rick—alongside the exceptional educator, Victoria Brasile. Victoria recently visited the UK and shared invaluable tips on delivering excellent presentation...

  Understanding and Managing Diffuse Axonal Injury in Neurointensive Care Welcome to the St Emlyn’s blog. I’m Iain Beardsell, and today we delve into the complex and crucial topic of diffuse axonal injury (DAI) with insights from John Hell, a consultant in Neurointensive Care at the University Hospital of Southampton and former director of the Wessex Neuroscience’s Intensive Care Unit. With his ex...

Understanding Syncope: A Comprehensive Guide for Emergency Medicine Introduction Today, we are discussing syncope, a common yet complex condition involving a transient loss of consciousness due to a temporary reduction in blood flow to the brain. This comprehensive guide aims to provide insights into diagnosing and managing syncope in the emergency department. The Challenge of Syncope Diagnosis Wh...

Understanding High Sensitivity Troponins: A Guide for Emergency Physicians Welcome to the St. Emlyn's podcast. I'm Ian Beardsell and I'm Rick Bodden. This is part two of our troponin special where we delve deeper into high sensitivity troponins (hs-Tn) and their significance in emergency medicine. Today, we'll explore the nuances of hs-Tn assays and how they can enhance our work in the emergency d...

College of Emergency Medicine Conference 2024: Everything You Need to Know Welcome to the St. Emlyne's blog, where we provide the latest updates and insights into the world of emergency medicine. Today, we're diving into the much-anticipated College of Emergency Medicine (CEM) Conference, set to take place in Exeter from September 9th to 11th. This conference is not only a hub for academic learnin...

Shortness of breath, or dyspnoea, is an alarming symptom because it can signify a wide range of serious conditions. From acute respiratory diseases to cardiac emergencies, the differential diagnosis is vast. For new doctors, encountering a patient with dyspnea can be particularly challenging due to the multitude of potential causes and the urgent nature of the symptom. Prioritising Life-Threatenin...

The Importance of Thorough Evaluation Headaches can be tricky. Many patients experience them as part of various symptomatologies, but our focus here is on those for whom headache is the primary complaint. Our objective is to rule out serious conditions while providing effective management. The major diagnoses to consider include subarachnoid haemorrhage, meningitis, brain tumours, and temporal art...

The Ultimate Guide to Understanding Troponins in Emergency Medicine Welcome to the St. Emlyn's podcast! In this episode, we're exploring the fascinating world of troponins, vital biomarkers essential for diagnosing myocardial injury. Whether you're a seasoned clinician or a medical student, understanding troponins is crucial for effective patient care. We'll cover everything from the basics to adv...

Starting Your Career in Emergency Medicine: Key Insights from St. Emlyn’s Welcome to the world of emergency medicine! At St. Emlyn’s, we understand the challenges and excitement that come with starting your career in this fast-paced field. Whether you’re a new doctor stepping into the emergency department (ED) for the first time or a medical student gearing up for your rotation, we’ve got you cove...

Navigating the Challenges and Benefits of Targets in Emergency Medicine: A Deep Dive from St. Emlyn's Welcome back to the St. Emlyn's blog. Today, we're tackling a topic that's both crucial and controversial in the UK: the multitude of targets faced by emergency departments (EDs). As many of you know, our emergency services have become world leaders in setting and striving to meet various targets....

Welcome to the St. Emlyn's podcast, where today we delve into the critical realm of trauma teams and trauma team leadership. Our focus is on optimizing efficiency and patient outcomes in the resuscitation room. Drawing from a hypothetical trauma case, we'll equip you with actionable knowledge to enhance your practice. Understanding the Modern Trauma System The UK has undergone significant reorgani...

Understanding Relative Risk, Absolute Risk, and Number Needed to Treat: A Guide for Emergency Medicine Welcome back to the St. Emlyn’s podcast. I’m Iain Beardsell and joining me is Simon Carley. Today, we’re delving into the complex yet critical concepts of relative risk, absolute risk, and the number needed to treat (NNT) in the context of emergency medicine. These metrics are essential for under...

Navigating the Challenges of Early and Late Adoption in Medical Practice In the ever-evolving landscape of medicine, the timing of adopting new treatments and technologies is a critical decision for clinicians. Simon Carley, in a discussion with Scott from St. Emlyn's podcast, delves into the complexities of being an early or late adopter, exploring the associated risks and benefits. This conversa...

Exploring Diagnostic Testing in Emergency Medicine: A St Emlyn’s Perspective Welcome back to the St Emlyn’s podcast! Today, we're diving deep into the world of diagnostic testing in emergency medicine, inspired by a recent discussion featuring our esteemed colleague Rick Boddie. This episode sheds light on the complexities of diagnosis, the probabilities involved, and the importance of shared deci...

What is a Diagnosis? A diagnosis is essentially a label that we put on a patient to indicate what they have, which then guides our treatment decisions. In the ED, our primary focus is on identifying life-threatening conditions. This approach often involves working backwards by first ruling out serious conditions before considering what a patient might actually have. Initial Diagnostic Approach As...

Patients often come to us with the fundamental question: "Doctor, what's wrong with me?" Our goal is to provide an answer through history, examination, and tests. Let's explore what it means to make a diagnosis in emergency medicine. The Role of Diagnosis in Emergency Medicine In day-to-day practice, making a diagnosis often means applying a label to a patient. This label helps us decide on the ne...

St. Emlyns Podcast: Get Ready for SMACC Chicago Welcome to the St. Emlyns podcast! I'm Simon Carly, and with me is Ian Beetzel. We are emergency physicians from the UK, deeply involved with the St. Emlyns team. After years of bringing you insightful content through our blog, we’ve now ventured into podcasting. Today, we’re excited to talk about the upcoming SMACC Chicago conference. What Makes SMA...

Welcome to the St Emlyn's Podcast: A New Chapter in FOAMed We're thrilled to announce the launch of the St Emlyn's podcast , bringing fresh perspectives and insights from the world of emergency medicine. I'm Iain Beardsell, and alongside Simon Carley, we're excited to extend our reach from the St Emlyn's blog to your favourite podcast platforms. Why a Podcast? The landscape of medical education is...