The St.Emlyn’s Podcast
St Emlyn’s is the premier emergency medicine podcast from the UK. It discusses evidence-based medicine, clinical excellence, wellbeing, and the philosophy of emergency care.
Episodes
Ep 300 - Decisions under pressure from Tactical Trauma
Making decisions with incomplete information is part of everyday emergency and trauma care. But when the stakes are particularly high, how do you know when you have enough information to act? Waiting too long may cost lives. Acting too soon may put patients, colleagues or yourself at unnecessary risk.For our 300th St Emlyn’s podcast, Iain Beardsell revisits conversations he and Liz Crowe recorded
Ep 299 - Which patients with chest pain need a troponin?
Chest pain that sounds like indigestion, feels mild or seems “atypical” can still be myocardial infarction. The difficult question is not whether troponin is useful, but which patients actually need testing — and how much weight we should give symptoms, cardiovascular risk factors and clinical judgement.Professor Rick Body looks at the evidence behind those decisions, drawing on his own research a
Ep 298 - Traumatic Cardiac Arrest: Rethinking Resuscitative Thoracotomy with Laura Kocierz at Trauma 2030
Traumatic cardiac arrest demands rapid treatment, but one of the hardest decisions is whether a resuscitative thoracotomy is likely to help. Can the location of a penetrating injury and the rhythm on the monitor give us better information than an uncertain history of when the patient arrested?Recorded at Trauma 2030 at the Royal College of Surgeons of England, Iain Beardsell speaks with Laura Koci
Ep 297 - The 5th Universal Definition of MI - what emergency clinicians need to know
The Fifth Universal Definition of Myocardial Infarction changes some familiar language around MI and puts new emphasis on how we interpret troponin, myocardial injury and imaging. For emergency clinicians, these changes affect both how we describe what is happening and how confidently we can make the diagnosis.Iain Beardsell introduces Rick Body, Professor of Emergency Medicine at the University o
Ep 296 - Trauma, Systems Thinking and High-Risk PE (April 2026 Round Up)
Small decisions in the resus room can save minutes; badly designed systems can waste thousands of hours. In the April 2026 St Emlyn’s round-up, Iain Beardsell and Simon Carley move between both ends of that spectrum, from external haemorrhage control and chest drains before CT to ED crowding, clinician productivity and the reflex to solve safety problems with more mandatory training.There is also
Ep 295 - PE, Whole Blood, HEMS and Smarter CPR (March 2026 Round Up)
In this month’s St Emlyn’s podcast, Iain Beardsell and Simon Carley work through some of the most interesting recent posts and papers from the blog.The conversation ranges from the latest pulmonary embolism guidance to the persistent problem of emergency department crowding, and from pre-hospital whole blood to the uneven availability of enhanced critical care across the UK.They also look at wheth
Ep 294 - Experts Are Made, Not Born: Sara Crager on Mental Models and Rapid Sequence
What separates an expert from someone who simply knows a lot? Sara Crager argues that expertise is less about accumulating facts or hours of experience and more about developing better mental models: structured ways of organising knowledge and approaching difficult problems.Iain Beardsell speaks with Sara about deliberate practice, how experts can make their thinking visible to learners, and Rapid
Ep 293 - Making Feedback Sticky, TTL Tips and more (February 2026 round up)
In this episode of the St Emlyn’s Podcast, Iain Beardsell and Simon Carley catch up on the February blog posts, recorded in the rather unseasonal context of a UK heatwave. They begin with congratulations to Simon on his reappointment as Dean of the Royal College of Emergency Medicine, before reflecting on recent conferences including IFEM in Hamburg and Don’t Forget The Bubbles in Glasgow.The clin
Ep 292 - Leadership, Culture and Psychological Safety in Pre-Hospital Care with Anna Dobbie at Trauma 2030
In this episode of the St Emlyn’s Podcast, Iain Beardsell speaks with Anna Dobbie, consultant in emergency medicine and pre-hospital care, and Clinical Lead for London HEMS.Recorded at Trauma 2030 at the Royal College of Surgeons in London, the conversation explores what it means to lead exceptional teams in one of the most high-pressure areas of emergency medicine. Anna reflects on six years as C
Ep 291 - January 2026 Round-Up: RSI Trial, Trauma Leadership, and the Reality of Corridor Care
In this episode, Iain and Simon catch up on the papers, posts, and conversations that have been sitting with us since the start of the year. Some are familiar. Some are uncomfortable. All of them feel relevant on shift.We start with the RSI trial — ketamine versus etomidate. A study that generated a lot of noise, and perhaps more certainty than it deserved.We move through trauma team leadership. N
Ep 290 - Shock with Rich Carden at Trauma 2030
Shock is one of the most used words in emergency medicine. It’s also one of the most misunderstood.In this episode, recorded at Trauma 2030 at the Royal College of Surgeons, I sit down with one of St Emlyn's own, Rich Carden — former emergency physician, now intensive care trainee and PhD graduate in trauma sciences — to explore what shock actually means beyond the blood pressure reading.We discus
Ep 289 - Refractory VF, Double Sequential Defibrillation, and the Future of Cardiac Arrest
What do we really know about treating refractory ventricular fibrillation? And why are we still waiting to use strategies that might actually work?In this episode, we talk to Sheldon Cheskes about the evolving science of cardiac arrest, with a focus on refractory and recurrent ventricular fibrillation. We explore the evidence behind double sequential external defibrillation (DSED), how it compares
Ep 288 - Training Reform, Trauma Leadership, AI on the Shop Floor and more (November/December 2025)
You’re about to hear a conversation that ranges widely — from training reform and trauma leadership to ondansetron, paracetamol protocols, and artificial intelligence.But it isn’t really about any single topic - It’s about where emergency medicine is heading. And whether we are ready for it.This is our November and December 2025 round-up, and revisits the blog posts from the end of last year. A pa
Ep 287 - Damage Control Pre-hospital Care with Harriet Tucker at Trauma 2030
You’re about to hear a conversation about doing less. But it isn’t really about doing less. It’s about time.Recorded at Trauma 2030 at the Royal College of Surgeons, this episode explores a shift in mindset in pre-hospital trauma care — away from maximal intervention on scene and towards rapid recognition of the patient who cannot be fixed pre-hospital.I’m joined by Harriet Tucker — consultant at
Ep 286 - Building HEMS in Northern Ireland: Systems, People, and the Legacy of John Hinds with Nigel Ruddell at BASICs 2025
In this episode of the St Emlyn’s Podcast, we’re joined by Nigel Ruddell, Medical Director of the Northern Ireland Ambulance Service, recorded live at the BASICS Conference.This is a conversation about Helicopter Emergency Medical Services (HEMS) — but not in the way you might expect.It’s not really about aircraft. It’s about people.Nigel talks us through the long, often uncomfortable journey to b
Ep 285 - Resuscitative Hysterotomy with Caroline Leech at BASICs 2025
In this episode of the St Emlyn’s Podcast, Iain Beardsell and Simon Carley talk with Caroline Leech at the BASICs Conference about resuscitative hysterotomy following maternal cardiac arrest.This is a calm, evidence-led discussion of a rare, high-stakes intervention that most clinicians will encounter once, if at all — and still need to get right.What we coverWhy the term resuscitative hysterotomy
Ep 284 - Trauma, Cardiac Arrest, and the Myth of the Silver Bullet (October 2025)
In this (rather delayed!) October round-up, Iain Beardsell and Simon Carley catch up on recent St Emlyn’s blog posts and papers that continue to shape emergency and resuscitation practice.The discussion moves across trauma, analgesia, cardiac arrest physiology, emergency department systems, and antimicrobial stewardship—less about novelty, more about what actually holds up on shift.Trauma and haem
Ep 283 - Best Bits of 2025 — Bonus: Clinical Pearls
This bonus episode is a quick-fire collection of clinical pearls drawn from across the St Emlyn’s podcast in 2025.Short, practical, and deliberately focused, these are the moments that make you stop and think: “That’s useful — I want that in my head.”There’s minimal commentary and no deep dives. Each clip stands on its own as a clear takeaway, designed to be listened to in one go or dipped back in
Ep 282 - Best Bits of 2025 — The Things You’ll Be Glad You Remember
Some of the hardest moments in emergency medicine aren’t hard because they’re complicated. They’re hard because they’re rare — and when they arrive, you’re relying on things you last thought about a long time ago.This final episode in the Best Bits of 2025 series is the “file it away” collection: rare, high-stakes situations where preparation is largely cognitive, decisions are time-critical, and
Ep 281 - Best Bits of 2025: Getting Better the Sustainable Way
January often brings pressure to improve — to fix gaps, sharpen skills, and somehow be better than the year before. Done badly, that drive can become another source of burnout.This third episode in the Best Bits of 2025 series focuses on how improvement actually works in emergency and acute care — and how to do it in a way that is realistic, sustainable, and kind to the people doing the work.The c
Ep 280 - Best Bits of 2025: Staying Human Under Pressure
Winter pressure doesn’t just affect patient flow. It affects people.This second episode in the Best Bits of 2025 series focuses on the human side of emergency medicine: culture, moral injury, compassion, and the small but meaningful behaviours that help clinicians stay grounded when work is relentless.The clips in this episode are drawn from full St Emlyn’s podcast episodes released during 2025 an
Ep 279 - Best Bits of 2025: Decisions When It’s Busy
Emergency medicine strips decision-making back to its essentials when departments are full and time is short.This first episode in the Best Bits of 2025 series brings together some of the most practically useful moments from the St Emlyn’s podcast this year — focusing on how clinicians make good decisions under pressure, when conditions are far from ideal.Each clip comes from a full episode releas
Ep 278 - Trauma 2030 Highlights: Damage Control Resuscitation, Resuscitative Thoractomy and more.
Join Iain Beardsell and Hutch as they review key insights from the Trauma 2030 conference hosted by the Institute of Pre-Hospital Care, part of London's Air Ambulance.The discussion highlights the emphasis on speed in damage control resuscitation, the ongoing debate on 'scoop and run' versus 'stay and play' approaches, and the nuanced use of resuscitative thoracotomy.The episode delves into advanc
Ep 277 - Cognitive HALOs and Advanced Simulation Training with Halden Hutchinson-Bazely at BASICs 2025
Recorded at the BASICS Conference 2025, Iain talks with Haldon “Hutch” Hutchinson-Basley about the idea of a “cognitive HALO” — those rare moments where your mental bandwidth hits maximum power.Hutch describes a traumatic cardiac arrest he encountered alone, with no warning and no crewmate to share the load. He explains how he recognised cognitive overload and used simple strategies — “lighting a
Ep 276 - Ejection Seats and the Injured Pilot – Aviation Medicine with Phil Lucas at BASICs 2025
In this St Emlyn’s podcast, Ian Beardsell and Simon Carley speak with RAF GP Phil Lucas from the Royal Air Force Centre of Aerospace Medicine at the BASICS conference in Leicestershire. They explore what really happens when a pilot pulls the ejection handle, and what this means for pre-hospital and Emergency Department teams who may be the first to see an ejectee.Phil explains: • Why the aviation
Ep 275 - Targeted Resuscitation, Arterial Lines, Hydrofluoric Acid Burns Treatment and more (August/September 2025)
In this episode of the St Emlyn's podcast, hosts Iain Beardsell and Simon Carley review blog posts from August and September. They reflect on their experience at the BASICs Conference, highlighting discussions on resuscitation science and new resuscitation council guidelines.Topics covered include the physiological-targeted resuscitation, arterial line placements during cardiac arrest, the PECan a
Ep 274 - What medical conferences offer in 2025 (and how they’ve changed)
Episode summaryWhy in‑person conferences still matter in a post‑COVID world.What formats work now: short talks, interviews, demos, strong hosting.How to turn “a great day out” into Monday‑morning change.GuestsDavid Carr — EM physician (Toronto). Leads the Annual Update in EM at Whistler. Focus: inclusive, high‑energy, “hard‑core EM” content.Haney Mallemat — EM & Critical Care (South Jersey/Phi
Ep 273 - Surg Cap Ed Barnard on the Abdominal Aortic & Junctional Tourniquet (AAJT) for Exsanguinating, Non-Compressible Haemorrhage at BASICs 2025
Recorded at the BASICS Pre-Hospital Care Conference at Sketchley Grange, this episode explores one of the most experimental tools in civilian trauma care — the abdominal aortic and junctional tourniquet. Dr Ed Barnard joins us to discuss why this device was developed, how it works, and where it might — just might — save lives when all other options have failed.The conversation traces the problem o
Ep 272 - Toxicology, Hyperthermia and the Future of Emergency Care (June and July 2025)
In this episode of the St Emlyn's Podcast, Iain and Simon discuss the latest updates in emergency medicine during the hot UK summer. They discuss the latest research and content from the St Emlyns blog, touching on topics like serotonin syndrome, the impact of the new urgent and emergency care plan in the UK, and the use of salbutamol as an analgesic for renal colic.They also highlight the growing
Ep 271 - Behavioural Disturbance, Trauma scores, Compassion, Thoracotomies and more
Iain and Simon return after a brief hiatus to discuss key blog posts from April and May on the St Emlyn's Podcast. They highlight notable conferences including IncrEMentum 2025 in Spain, The Big Sick in Zermatt, and the BASICs Conference.Discussions cover content from recent emergency medicine research, the importance of compassion and patient-centred care, and operational strategies to avoid eme
Ep 270 - Insights on Cannabis Edibles, Pre-Hospital Thoracotomy, and more
In the March 2025 episode of the St. Emlyn's podcast, Iain Beardsell and Simon Carley discuss a variety of topics covered in their latest blog posts and podcasts. Key discussions include the implications of cannabis edibles in emergency departments, expert viewpoints on pre-hospital resuscitative thoracotomy for traumatic cardiac arrest, and the use of ketamine for opioid-dependent patients.
Ep 269 - Monthly Round Up Janury 2025 - Prehospital Papers Galore!....
In this episode of the St Emlyn's Podcast, Iain Beardsell and Simon Carley revisit January's blog posts and podcasts, covering several seminal studies relevant to emergency and pre-hospital care.Topics include the Sub 30 Feasibility Study on pre-hospital ECMO, comparisons of pre-hospital versus in-hospital emergency anaesthesia, variations in maintenance of pre-hospital anaesthesia in trauma pati
Ep 268 - Top Papers of 2024 from The Big Sick Conference
In this special edition of the St Emlyn’s podcast, Iain Beardsell and Simon Carley review the top medical papers of 2024, originating from Simon’s talk at The Big Sick conference in Zermatt. The discussion includes a comparison of non-invasive versus arterial pressure monitoring, the association of intra-arrest arterial blood pressure with ROSC, the efficacy of serratus anterior plane blocks for r
Ep 267 - Social Media and Artifical Intelligence in Medicine with Peter Brindley at LTC
Join hosts Iain Beardsell and Natalie May at the London Trauma Conference as they welcome Peter Brindley back to the St Emlyn’s podcast. In this engaging episode, they delve into the nuances of social media, digital footprints, and the burgeoning influence of artificial intelligence in medicine. Brindley discusses the importance of maintaining an authentic digital presence and addresses the impact
Ep 266 - Monthly Round Up February 2025 - Skills Fade, Resuscitation Targets and more
In this episode of the St Emlyn's podcast, Iain Beardsell and Simon Carley reflect on their experiences at recent conferences, including the IncrEMentuM 2025 and The Big Sick. They discuss the exceptional quality and innovative formats of presentations at IncrEMentuM, emphasizing the enthusiasm and positive atmosphere. The discussion also covers key emergency medicine topics from February's blog p
Ep 265 - Excellence in Debriefing with Richard Lyon at LTC
In this episode of the St Emlyn's Podcast, Iain Beardsell and Natalie May speak with Richard Lyon, an emergency doctor and deputy medical director of the air ambulance service at Kent, Surrey, and Sussex. Recorded at the London Trauma Conference 2024 in Kensington, Richard shares experiences and lessons from his talk on five critical cases that shaped him as a clinician and human being. Discussi
Ep 264 - High Performance Teams with Dan Dworkis at Tactical Trauma 24
In this episode of the St Emlyn's podcast, hosts Iain Beardsell and Liz Crowe welcome Dan Dworkis, an ER doctor from Los Angeles and host of the Emergency Mind podcast. Dan shares his expertise on optimizing team and individual performance in high-stress medical environments. The discussion delves into the concept of excellence beyond merely avoiding negative outcomes, using a rosebush metaphor to
Ep 263 - Hyperbaric Medicine with Jeff Kerrie at LTC
In this episode of the St. Emlyn's podcast, hosts Iain Beardsell and Natalie May discuss hyperbaric medicine at the London Trauma Conference with Dr. Jeff Kerrie, an internal medicine physician from Canada. Dr. Kerrie provides insights into dive and hyperbaric medicine, covering the basics of hyperbaric therapy, its applications, and key practices for emergency departments when treating patients w
Ep 262 - GoodSam Update with Mark Wilson at LTC 2024
In this episode, Iain Beardsell and Natalie May speak with neurosurgeon Mark Wilson at the London Trauma Conference. Mark provides an in-depth look at the evolution of the GoodSAM app over the past decade. Initially designed to alert off-duty trained individuals to assist in emergencies, particularly for cardiac arrests and impact brain apnoea, the app has grown to include applications in police s
Ep 261 - Moral Injury with Caroline Leech at Tactical Trauma 24
In this episode of the St Emlyn's podcast, hosts Iain Beardsell and Liz Crowe welcome back Caroline Leech, a emergency medicine consultant with extensive pre-hospital care experience. Caroline discusses the concept of moral injury, delving into its distinction from moral distress. She introduces three mechanisms of moral injury: acts of commission, acts of omission, and betrayal. Caroline provides
Ep 260 - Monthly Round Up December 2024 - Chest trauma, IO access, AI and more
In this season-ending episode of the St Emlyn's podcast, Iain Beardsell and Simon Carley come together in Zermatt, Switzerland, to discuss recent studies and updates.They highlight a randomized control trial on early exercise in blunt chest wall trauma, revealing its limited impact on recovery outcomes. Additionally, they explore the long-term safety of intraosseous access based on new evidence fr
Ep 259 - Skills Fade with Nathalie Pattyn at Tactical Trauma 24
In this episode of the St Emlyn's podcast, hosts Iain Beardsell and Liz Crowe talk with Nathalie Pattyn at TacTrauma24 in Sweden about the phenomenon of skills fade amongst emergency physicians.Nathalie discusses her extensive background in medicine, psychology, and neuroscience, and shares insights from her research on how skills can deteriorate during low workload deployments, such as her 15-mon
Ep 258 - Compassionate Resuscitation with Matt Hooper at LTC
Welcome to our first episode recorded at the London Trauma Conference 2024.In this episode, hosts Iain Beardsell and Natalie May are joined by Matt Hooper from Adelaide to discuss his unique career path, from emergency medicine to pre-hospital and retrieval medicine, intensive care, and more recently, palliative and end-of-life care.The conversation centres around the principles of end-of-life car
Ep 257 - Ten Second Triage with Sean Brayford Harris at Tactical Trauma 24
In this episode of the St Emlyn's podcast, hosts Iain Beardsell and Liz Crowe speak with Sean Brayford Harris, a paramedic and interoperability development officer with the London Ambulance Service, about the development of the 10 second triage tool—a new, streamlined method for triaging casualties in high-stress environments like major incidents.
They discuss its creation and implementation, incl
Ep 256 - Monthly Update November 2024 - Learning Culture, Chest Drains, Arterial Lines and more
During Winter's Challenges, Iain Beardsell and Simon Carley reviewed the November 2024 blog posts for St Emlyn's podcast, marking the start of 2025. They discuss the busy state of emergency departments, critical incidents, and the importance of maintaining a learning culture.
They highlight the upcoming Big Sick Conference in Zermatt and the IncrEMentuM in Spain, noting their potential benefits fo
Ep 255 - Likelihood Ratios: Critical Appraisal Nugget 12
In this episode of the St. Emlyn's podcast, Rick Body and Greg Yates delve into the concept of likelihood ratios, an advanced yet practical tool for diagnosing patients in the emergency department. Building on the previous episode about predictive values, they explain how likelihood ratios help compare the probability of test results between diseased and non-diseased patients. They provide example
Ep 254 - Monthly Round Up October 2024 - Toxicology, Cardiac Arrest and more
In this episode of the St Emlyn's podcast, Iain Beardsell and Simon Carley provide a comprehensive update for October 2024. They discuss key blog posts covering diverse medical topics, including highlights from the Royal College of Emergency Medicine's academic science conference focusing on toxicology, high-potency opioids, novel benzodiazepines, and the use of flumazenil.
They also explore the G
Ep 253 - Highlights from the London Trauma Conference 2024
In this episode of the St Emlyn's podcast, Iain Beardsell and Natalie May reflect on their experiences at the London Trauma Conference, a four-day event covering various aspects of trauma and pre-hospital care.
They discuss key takeaways from sessions on cardiac arrest, including talks on perioperative cardiac arrest and the prognostication of cardiac arrest patients.
The episode also delves into
Ep 252 - ECMO in Trauma with Chris Bishop at Tactical Trauma 24
In this episode of the St Emlyn's podcast, hosts Iain Beardsell and Liz Crowe are joined by Chris Bishop, a clinical research fellow at the Centre for Trauma Sciences at Queen Mary University of London. Chris discusses his PhD research on veno-arterial ECMO support for cardiogenic shock following major trauma haemorrhage and explains the principles and applications of ECMO, particularly in trauma
Ep 251 - Bad Behaviours in Teams with Liz Crowe at Tactical Trauma 24
This episode, recorded live at Tactical Trauma 24 explores the concept of bad behaviour within high-performing medical teams. Liz Crowe, who will be well known to regular listeners, discusses what constitutes bad behaviour, its impacts on team dynamics and patient safety, and the importance of self-awareness among medical professionals.
Key findings from recent research highlight that even subtle
Ep 250 - Monthly Round Up September 2024 - Patient Experience in the ED, Dirty Adrenaline, and More!
In this episode of the St Emlyn's podcast, Iain Beardsell and Simon Carley discuss various facets of emergency medicine.
They highlight a study on patient experience in emergency departments, focusing on issues like loss of autonomy, unmet expectations, and vulnerability. Suggestions for improvement include better communication, effective signage, and patient comfort.
The podcast also covers a 'di
Ep 249 - Care in the Hot Zone with Claire Park at Tactical Trauma 2024
In this episode, recorded live at Tactical Trauma 2024, Dr Claire Park explores the critical lessons learned from civilian and military incidents, focusing on her extensive experience in the Army and their role as chief investigator in a UK trial examining responses to terrorist attacks.
The talk covers the significance of 'hot zones,' illustrated by detailed analyses of the London Bridge and Fi
Ep 248 - Prehospital eCPR with Alice Hutin at Tactical Trauma 2024
Join Iain Beardsell and Liz Crowe in an engaging discussion with Alice Hutton, an emergency physician from Paris, at Tactical Trauma 24 in Sundsvall, Sweden.
The episode delves into the implementation and logistics of pre-hospital eCPR (Extracorporeal Cardiopulmonary Resuscitation) by SAMU in Paris. Alice shares insights from her PhD research on refractory cardiac arrest and discusses the use of t
Ep 247 - August 2024 Round-Up - Goldilocks Moments, Nasal Analgesia, and Public Health in the ED
In this episode of the St. Emlyn's podcast, hosts Iain Beardsell and Simon Carley share their insights from recent conferences, including Gateshead's RCEM scientific conference, Tactical Trauma 24 in Sweden, and the Premier Conference.
They explore 'Goldilocks moments' for executing life-saving procedures in critical care, emphasizing optimal timing for interventions like thoracotomies. The episod
Ep 246 - Simulation for Elite Team Performance with Andrew Petrosoniak at Tactical Trauma 2024
In this episode, recorded at Tactical Trauma 2024, Andrew Petrosoniak discusses real-world experiences in trauma care, and the innovative use of simulation to resolve systematic issues in blood delivery and overall trauma resuscitation protocols.
Key takeaways include the concept of intelligent failure, reducing cognitive overload for medical staff, and the creation of efficient medical environmen
Ep 245 - Leading through failure with Kevin Cyr at Tactical Trauma 2024
Recorded at Tactical Trauma 2024, in this episode of the St. Emlyn’s podcast, Iain Beardsell and Liz Crowe sit down with Kevin Cyr, commander of a SWAT-like unit in the Royal Canadian Mounted Police, to discuss leadership, failure, and resilience in high-stakes environments. Kevin shares the powerful story of a tragic hostage situation that resulted in the unintended death of the hostage by the po
Ep 244 - July 2024 Monthly Update - Chest Pain, REBOA, Lidocaine patches and lots of paediatric emergency medicine
In this episode, hosts Iain Beardsell and Simon Carley provide the St Emlyn's podcast blog update for July 2024. They discuss their recent experiences, including Simon's trip to Malaysia for the MRCEM exams and Iain's upcoming attendance at the Tactical Trauma conference in Sweden.
The main topics include a systematic review on the Manchester Acute Coronary Score (MACS) and its application in emer
Ep 243 - The Subarachnoid Haemorrhage in Emergency Department (SHED) Study
In this episode of the St Emlyn's podcast, Iain Beardsell is joined by Dan Horner, a consultant in Emergency Medicine and Neurocritical Care, and Tom Roberts, an Emergency Medicine Registrar and clinical lecturer, to discuss their recently published SHED study on subarachnoid haemorrhage in the Emergency Department (ED). This landmark study, published in the Emergency Medicine Journal, explores th
Ep 242 - Prehospital Neuroprotection with Ed Langford at PREMIER 2024
In this episode, we delve into the critical role of neuroprotection in pre-hospital care, particularly in pediatric head injuries. Through a real-life case study of a 13-year-old boy who suffered a traumatic brain injury after being hit by a car, we explore the steps taken by paramedics and critical care teams to stabilize him and prevent further neurological damage. From airway management to adva
Ep 241 - Paediatric Palliative Care with Tim Warlow at PREMIER 2024
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
Ep 240 - June 2024 Monthly Round Up - Nebulised Ketamine, Risky Intubations, Better Presentations, DSED, Preoxygenation and more
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
Ep 239 - Button Battery Ingestion with Francesca Steadman at PREMIER 2024
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 mo
Ep 238 - Positive and Negative Predictive Values: Critical Appraisal Nugget
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 s
Ep 237 - Hybrid Closed Loop Insulin Pumps with Nicola Trevelyan at PREMIER 2024
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 encount
Ep 236 - Occlusive Myocardial Infarction, ECGs and AI with Steve Smith
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 fascinati
Ep 235 - Eating Disorders in the Emergency Department with Anna Kyle at PREMIER 2024
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 fiv
Ep 234 - May 2024 Monthly Round Up - RCEM conference highlights, being EPIC and more
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
Ep 233 - Sudden Cardiac Death with Harshil Duptia at PREMIER 2024
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 car
Ep 232 - April 2024 Monthly Round Up - Bougies, cardiac arrest, trauma, sepsis, race and medicine and choosing with intention
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 als
Ep 231 - February and March 2024 Monthly Round Up - Liver disease, mCPR, Global Health and Elderly patients
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, Justi
Ep 230 - Top Twenty Papers of 2023 - Part 2 - Haemorrhage and Cardiac
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, i
Ep 229 - Top Twenty Papers of 2023 - Part 1 - Airway
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
Ep 228 - January 2024 Monthly Round Up - New Year Resolutions, intubating poisoned patients and wellbeing in the ED
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 an
Ep 227 - December 2023 Round Up -Major bleeding decison making, E-scooters, AI and advanced resuscitation possibilities
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 t
Ep 226 - October and November 2023 Monthly Round Up - Trauma, Resuscitation, Aortic Dissection and Silence
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
Ep 225 - A deep dive into ECMO with Andy Curry
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 r
Ep 224 - September 2023 Monthly Round Up - Top Ten Papers and more
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.
Ep 223 - July and August 2023 Monthly Round Up
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 l
Ep 222 - Monthly Round Up June 2023 - Airways, AMAX4, Head Injuries, TXA and more
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
Ep 221 - Brief Resolved Unexplained Events with Jilly Boden at the PREMIER Conference
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 fi
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