In this episode, Dr Tim Warlow, a consultant in Paediatric Palliative Care, explores the complexities of caring for children with life-limiting conditions in the emergency department (ED). The discussion highlights the increasing prevalence of paediatric life-limiting conditions and the growing medical complexity of these cases, which pose significant challenges for ED staff. The episode begins by clarifying what paediatric palliative care truly involves. Contrary to common misconceptions, palli...
Aug 14, 2024•11 min•Season 11Ep. 12
As the UK enjoys its unpredictable summer, with everything from sunshine to hailstorms, we bring you a mix of updates and discussions on emergency medicine, blog content, upcoming conferences, and insightful research reviews. So, whether you're basking in the sun or sheltering from the rain, sit back and enjoy our latest insights into the world of emergency medicine. In this round-up of Month Year, we talk about a wide range of issues relating to emergency medicine, including nebulised ketamine ...
Aug 07, 2024•34 min•Season 11Ep. 11
In this podcast from the PREMIER conference 2024 , Francesca Stedman, a consultant paediatric surgeon from Southampton Children's Hospital discusses the care of the child who has ingested a button battery. Button batteries are ubiquitous and come in various types and sizes. There are about 85 different kinds available or in use in the UK alone, found in everything from toys to hearing aids. The most notorious is the CR2032, which is about 20 millimeters in diameter and 3.2 millimeters thick. It ...
Jul 31, 2024•16 min•Season 11Ep. 10
In this St. Emlyn's podcast, Rick Body and Greg Yates, continue our exploration of diagnostic test accuracy, shifting our focus to positive predictive value (PPV) and negative predictive value (NPV). These concepts are vital for anyone preparing for exams or looking to enhance their application of diagnostic tests in clinical practice. While our last podcast discussion centred on sensitivity and specificity, PPV and NPV offer a different, arguably more clinically practical perspective on interpr...
Jul 24, 2024•11 min•Season 11Ep. 9
In today's episode, taken from live recordings at PREMIER 2024 , we dive into an increasingly common treatment for type 1 diabetes: hybrid closed loop insulin pumps. We'll begin with a brief overview of traditional insulin pumps and explain how hybrid closed loops are different. The core of our discussion will be centered around three case studies, illustrating potential scenarios you might encounter in a pediatric emergency department and how to manage them effectively. With NICE's recent techn...
Jul 17, 2024•15 min•Season 11Ep. 9
It was a huge pleasure to sit down with Steve Smith, a name synonymous with ECG expertise. Steve, renowned worldwide for his influential ECG blog, has been a pivotal figure in advancing our understanding of ECGs. Many of us have honed our ECG skills thanks to Steve’s insights. I had the opportunity to meet Steve about a decade ago at one of the SMACC conferences . Today, we delve into the fascinating world of occlusive myocardial infarction (OMI) and its comparison to STEMI (ST-elevation myocard...
Jul 09, 2024•28 min•Season 11Ep. 8
In this episode of the St Emlyn's podcast, Iain Beardsell introduces a talk by Anna Kyle, a consultant paediatrician from Somerset, delivered at the Premier conference in June 2024. Anna explores the complexities of assessing and managing eating disorders in young patients, including young adults. Highlighting the critical nature of eating disorders, she notes a 90% increase in admissions over five years and emphasizes the deadly risks, particularly anorexia nervosa with its 10% lifetime mortali...
Jul 02, 2024•16 min•Season 11Ep. 8
Welcome to the St Emlyn's Monthly Podcast, your go-to source for the latest insights, developments, and discussions in emergency medicine and critical care. Each month, Simon and Iain will bring you in-depth analysis, evidence-based practices, and practical advice to enhance your clinical practice and professional development. In this round-up of May 2024, we talk about a wide range of issues relating to emergency medicine, including highlights from the RCEM conference , including the future man...
Jun 27, 2024•35 min•Season 11Ep. 7
The sudden death of anyone is a tragic event, but even more so a child, particularly when it comes completely unexpectedly. We've all seen stories in the papers or even been involved in caring for these young people. In this podcast Harshil Dhutia talks about the common causes fo sudden cardiac death, and gives a roadmap for the investigation of young people with worrying symptoms and ongoing care for their families. There are more details in the comprehensive post on the St Emlyn's blog site Th...
Jun 20, 2024•19 min•Season 11Ep. 6
Welcome to St Emlyn's Monthly Round Up Podcast, your go-to source for the latest insights, developments, and discussions in emergency medicine and critical care. Each month, Iain and Simon bring you in-depth analysis, evidence-based practices, and practical advice to enhance your clinical practice and professional development. You can find an in-depth set of shownotes on St Emlyn's. Please do also like and subscribe, wherever you get your podcasts. This month's content includes... Introduction 0...
Jun 05, 2024•30 min•Season 11Ep. 5
After the bumper double paper review episode, we fit two months of blog content into one episode. Iain and Simon discuss the management of the patient with chronic liver disease who has an acute decompensation , global health connections, whether mechanical CPR is more effective than human CPR and the potential effects on elderly patients staying in the ED overnight . References Conor Crowley, Justin Salciccioli, Wei Wang, Tomoyoshi Tamura, Edy Y. Kim, Ari Moskowitz, The association between mech...
May 04, 2024•25 min•Season 11Ep. 4
In this second of a two part podcast special Iain and Simon go through twenty of the top papers from the last year or so, as presented by Simon at the Big Sick Conference in Zermatt earlier this year. All the details and more discussion can be found on the blog site . In Part 2 they discuss papers about major haemorrhage, trauma, cardiac arrest and more. In Part 1 they discuss all things airway, including where we should be intubating patients needing immediate haemorrhage control. VL vs DL, the...
Apr 23, 2024•22 min•Season 11Ep. 3
In this two part podcast special Iain and Simon go through twenty of the top papers from the last year or so, as presented by Simon at the Big Sick Conference in Zermatt earlier this year. All the details and more discussion can be found on the blog site . In Part 1 they discuss all things airway, including where we should be intubating patients needing immediate haemorrhage control. VL vs DL, the effect of blade size on intubation success, whether small adult ventilation bags are better than la...
Apr 17, 2024•20 min•Season 11Ep. 2
It's episode one of season 11 and Simon and Iain chat through the blog content from St Emlyn's from January 2024. There's discussion about New Year resolutions and how to make them habits , intubating poisoned patients with a decreased conscious level and what we can possibly do to improve the working conditions in our Emergency Departments. As ever, we hope you enjoy the podcast. Please do like and subscribe, and if you'd like to contribute to St Emlyn's in any way please get in touch....
Feb 24, 2024•25 min•Season 11Ep. 1
It's the last episode of season 10 and Iain and Simon discuss December 2023's blog posts. In a packed podcast they discuss prehopsital blood transfusion decision making , E-scooter injury patterns , the potential for AI in medicine and selective aortic arch perfusion . Please do get in touch if you would like to contribute to St Emlyn's and as ever do like and suscribe and tell your friends (if you think the podcast is any good). Mentioned in the podcast Gary Klein - Streetlights and Shadows Cri...
Feb 02, 2024•24 min•Season 10Ep. 17
In this bumper double edition Simon and Iain chat through all the recent content on the St Emlyn's blog site, including a review of CRYOSTAT-2 and the DAShED study , a review of the new ILCOR guidelines , flow in the ED and why silence might just be the tonic we all need. All of us at St Emlyn's wish you all, wherever you are on the world a peaceful, happy and restful Christmas. Please do like and subscribe and get in touch if you'd like to contribute to our ongoing work....
Dec 18, 2023•28 min•Season 10Ep. 16
One of the benefits of the use of online platforms for meetings is the ability to record and disseminate talks more widely. This is an edited version of a talk given by Dr Andy Curry , Consultant Cardiothoracic Intensive Care Consultant at University Hospital Southampton, covering the origins of Extra Corporeal Membrane Oxygenation (ECMO) right up to the present day. Throughout the talk, he gives real world experience, coupled with a knowledge of the literature to communicate all you could ever ...
Nov 09, 2023•37 min•Season 10Ep. 15
An EBM-packed episode where Iain and Simon go over ten of the top papers from the last year discussing all manners of things Emergency Medicine, including TXA in trauma , use of video laryngoscopy , defibrillation strategies in refractory VF , and ten-second triage in major incidents. There's also a very pertinent discussion about whether the age of your Emergency Physician might affect your outcome... Thank you again for listening to the St Emlyn's podcast. Please do like and subscribe and get ...
Oct 11, 2023•29 min•Season 10Ep. 14
After a long, hot and relaxing summer (!) Simon and Iain return with all the content from the St Emlyn's blog in July and August. They discuss four papers in detail, including the ARREST trial about cardiac arrest centres , whether clinical examination can identify life threatening injuries in trauma , the TOP-ART study looking at a novel agent in trauma management and the use of REBOA . Please do like and subscribe and get in touch if you would like to contribute to the blog site....
Sep 18, 2023•35 min•Season 10Ep. 13
Welcome to a bumper edition of the podcast discussing content from St Emlyn's for June 2023. In this episode, Simon and Iain talk about DL vs VL , the PATCH trial , drug pushers, packers and stuffers , the new head injury guidelines from NICE and the AMAX4 algorithm and much more. If you would like to submit something to St Emlyn's for consideration we'd love to hear from you . Times are tough in the NHS at the moment, but we hope at St Emlyn's we can remind you of all the best parts of the incr...
Jul 13, 2023•36 min•Season 10Ep. 12
The clue to these is very much in the Title – BRUE is a diagnosis in itself. Children often do weird stuff, but they rarely do weird scary stuff. In this talk, Jilly goes talks through how we can define these events as high and low risk and gives us tools to manage these patients (and their parents) Along with colleagues, Jilly has written a guideline for BRUE, the full version of which you can find here Jilly also mentions a flowchart from Peds Cases, which you can find here There is also this ...
Jun 21, 2023•11 min•Season 10Ep. 11
This episode of the podcast is a live recording from the PREMIER Conference of John O Neil discussing penetrating injuries with learning points that are useful for clinicians who look after both adult and paediatric patients. There are three main mechanisms – violence, impalement and self harm, although the first is by far the most common. Penetrating injuries are rare but have significant morbidity and mortality. The key is early and accurate diagnosis, and many can be managed conservatively. T...
Jun 19, 2023•15 min•Season 10Ep. 10
Chris brought us his reflections amnd knowledge from some of his extensive experience as a military EM consultant in two wars. Blast injury could be blunt, penetrating, may involve major haemorrhage: you have to expect any injury possible. It’s worldwide and it’s getting more common. Blast injury affects every body cavity, but it is the CABC approach that matters, Doing the basics well is still the key. Bleeding points may not be obvious so apply tourniquets wherever stops the bleeding. Often pa...
Jun 17, 2023•14 min•Season 10Ep. 9
This is the second in our series of talks recorded live in June 2023 at the PREMIER conference. Looking after patients with non-epileptiform seizures are a challenging, and common, event in the Emergency Department. 10% of attendances at paediatric neurology clinics are thought to be 'functional' and a lot of these will also present to the ED. These problems can involve a wide range of physical or sensory manifestations, almost all of wide have significant differentials which we cannot miss. A l...
Jun 15, 2023•14 min•Season 10Ep. 8
This is the first in a series of podcasts, recorded live at the Premier Conference in Winchester. In this episode, David James challenges our current practice when we give a 'weaning plan' for children discharged with wheeze. There is a plan here that you can review and give to patients and their carers. More information at these excellent websites PIER Network Southampton Oxford Retrieval Team Healthier Together David James has been a PEM Consultant at University Hospital Southampton since 2018...
Jun 13, 2023•11 min•Season 10Ep. 7
The monthly round up of all the blog posts at St Emlyn's, including a deep dive into HALO (high acuity, low occurrence) procedures and blood transfusion. Thanks again for listening. Please do like and subscribe here.
Jun 10, 2023•28 min•Season 10Ep. 6
Our monthly podcast round up from St Emlyn's Blog. This month Simon and Iain discuss the prehospital use of troponin measurement in the assessment of patients with chest pain and the use of AI in medicine , as well as an update about St Emlyn's WILD . Please do like and subscribe...
May 03, 2023•16 min•Season 10Ep. 5
This is the first podcast in our new series from St Emlyn's Medical School . They are specifically aimed at healthcare students and focus on the Medical Licensing Assessment (UK) presentations in particular but will be useful wherever you listen in the world. Each episode has a standard format with a case to set the scene, a set of learning objectives, a discussion, a summary and a case resolution. There are comprehensive listening notes on the dedicated website , as well as a growing set of oth...
Apr 24, 2023•15 min•Season 10Ep. 4
The latest CAN is one of our brand-new 'revision editions' -- brief podcasts aimed at covering the essentials of critical appraisal for medical students and junior doctors preparing for exams. With the help of Gregory Yates , an academic doctor based in Manchester, this episode introduces two core concepts: sensitivity and specificity. These are two ways of thinking about the accuracy of a diagnostic test. Knowing the sensitivity and specificity of an investigation will give you a decent idea of...
Apr 17, 2023•11 min•Season 10Ep. 3
Our regular monthly round up and chat from the St Emlyn's blog. We talk about the use of artificial intelligence in research and the use of remifentanil instead of neuromuscular blockade in rapid sequence intubation. Plus more about the StEmlynsWILD conference and Simon's new role as Dean of RCEM and how you can get involved....
Mar 20, 2023•14 min•Season 10Ep. 2
