NICE on Bronchiolitis: Less is More!

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As the nights get longer and the weather gets cooler emergency departments across the UK will see an increase in unwell children. The vast majority will have a self-limiting illness and can be safely discharged with appropriate safety netting. The emergency clinician’s role is crucial in identifying the children that require an in-patient stay. Infants with cough, […]

EMJ Blog – Nuances of Neurogenic Shock

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In my latest EMJ blog, I’ve reviewed an interesting recent paper from Taylor et al that explores some of the finer details of neurogenic shock – a rare, but potentially lethal complication of spinal trauma. Click here for the post. Here is the original paper: Presentation of neurogenic shock within the emergency department. Matthew Pritam Taylor, Paul […]

An EM Trainee’s Learning Points from ESICM LIVES 2016

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I had the opportunity to attend the European Society of Intensive Care Society (ESICM) annual conference in Milan this month. It was an interesting conference with expert speakers from all over the world of critical care. The conference spanned three days, and all talks were only 15 minutes followed by 2 questions. This post is a summary […]

EMJ Blog – How Junior Doctors Think: A Guide for Reflective Practice

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A very interesting paper has been published in the EMJ recently (June 2016), qualitatively exploring the subject of metacognition in UK-based junior doctors. It’s a must-read. I’ve blogged about it. I’d love to hear reader’s thoughts via the comments section (either on here or the EMJ blog site). The original paper: Clinical reasoning of junior doctors in […]

Case 6: The Chest Pain Patient With Stripes

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The Patient You are on a busy evening shift in resus. An 88 year-old man is brought in by ambulance with chest pain. The nursing staff have recorded initial observations, obtained IV access and got an ECG whilst you referred your last patient to the medical on-call team. The paramedics have handed over to a nurse […]

EMJ blog – ECG Marksmanship: Posterior Wellen’s Syndrome

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You can check out my latest piece for the EMJ blog by clicking here. I take a look at a very interesting EMJ paper published online recently: Driver BE, Shroff GR, Smith S. Posterior reperfusion T-waves: Wellens’ syndrome of the posterior wall. Emerg Med J. 2016 Jul 29. Tellingly, one of the authors is Dr. Smith, author […]