POCUS for undifferentiated shock in your ED?

This was a great paper to restart our journal club with and we brought it to the table after a succesful outing at our local trainee teaching day recently. I don’t know what your place is like but at our place we all do some POCUS, some of us do ore than others and some…

Wet Wet Wet. Balanced Crystalloids vs Saline in the critically ill.

Journal club this month featured the recently published SMART trial. A cracking paper on something we do all the time, every day. Ok its the ‘critically ill’ bit that may pique your interest most but IV fluid is something we deliver lots of in ED. If you’re keen there was a co-published paper from the…

Paracetamol for pain – Enteral or Parenteral is best?

This review is as hot off the press as they come and coincides nicely with a discussion at handover on Friday morning. Why do we obsess and feel the patient is getting a better drug when they have it IV? Is this something we have learnt? Are we delivering ‘stronger’ medicine? Does it feel more…

Blowing in the pink wind. Oxygen for Acute MI

Journal Club was back this week and we had a great group followed by a team ED night out which was great for the wellness and team cohesiveness ahead of what promises to be a busy winter in NHS-land! The paper this month was initially flagged up to me by my awesome colleague Steve Goodacre…

Knocked out in New York

We’re at the other side of a busy weekend, we’ve had the usual Saturday afternoon and in to the night with falls from bikes, falls in the pub and what feels like a lot of CT scanning going on. We’ve talked about head injuries and radiology this year and if you missed it earlier in…

Soaking the septic?

Its the start of winter here in NHS land. Twitter and the mainstream media is full of stories of over-run departments, patients everywhere and staff working flat to the point of breaking. But don’t let this distract you from the latest in EBM. Or from the fact we all know we work in one of…

Can MET smooth the rocky road to recovery?

Its summer in Yorkshire and fine folk are sweating under the shining golden orb, drinking too much beer and forgetting to wear sunscreen. But good grief its beautiful. Its been while since I posted – I’ll be honest I’ve been focusing on my life with family in ‘the real world’ through a new addition to…

POTCAST: Can you stop the clot?

Spring is here in Yorkshire. The weather is warming up, the evenings are lighter and the bike rides are getting slightly longer after a winter of ‘strictly business’ commutes to work. This month’s JC was a collaborative effort with a great mixed group of attendees – we had ED docs, one of our Ortho colleagues,…

The way AHEAD? Head injuries in Warfarinised adults.

Storm Doris is raging here in the UK and departments are creaking up and down the land. It’s fair to say that 2017 has been off to a rocky start. In amongst all the chaos I hope you’ve found time to read the recently published AHEAD paper published in the BMJ, and authored by some…

REASON to scan or is it all HOCUS POCUS?

The NEM conference this week sparked some debate on twitter with @EMManchester questioning whether you can call yourself an up to date Emergency Physician if you can’t and don’t use POCUS in your resus room and @POCUSFOAMED proclaiming it borders on the negligent citing that it’s the standard of care now for EPs in the…