EMJ Blog – Nuances of Neurogenic Shock


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 Englishman in South Africa: Robert Lloyd at St. Emlyn’s (link)


Here is the blog post I wrote for St. Emlyn’s to accompany the podcast – ‘An Englishman in South Africa’ – that I recorded with Professor Simon Carley (@EMManchester) at ICEM 2016. I discuss the human stress response and its effect on performance, strategies for building a more resilient mindset, and stress inoculation training. I explore these […]

Fluid Management in the Exsanguinating Trauma Patient


Tom Bourne (@Bourne4ED) is an EM advanced trainee currently plying his trade at The Alfred Emergency and Trauma Centre in Melbourne. Born in the UK, now settled in Australia, the only thing Bourney enjoys more than getting his hands dirty in resus is swinging a golf club in anger. If his medical career falls through, he can […]

Lessons From South Africa

human blood

I recently completed a 3-month postgraduate EM elective in Cape Town, South Africa. I arranged the elective through Stellenbosch University, and worked in 2 hospitals – New Somerset Hospital in the Cape Town city centre, and Khayelitsha District Hospital in the nearby township. I hunted down the experience in order to sample a new flavour […]

Case 4: Precordial Stab


I am currently on a 3-month elective in Cape Town, South Africa. I’m experiencing an awesome city, sampling a new flavour of emergency medicine, and getting exposed to some regular major trauma (an area of EM I am interested in, but have had minimal experience with so far). On day 3, I was involved in an amazing case… ‘If […]