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…

The Cardiac Decision Tool Fight is on. EDACS Vs ADAPT

Winter is upon us. Corridors are full of patients waiting to be seen, waiting to be admitted, social care is creaking. We have been told that the winter that breaks the NHS is coming. Increasing frailty, increasing demand and expectation. All of that. But in amongst all of the chaos there’s a cohort of patients…

Delirium screening in the ED – The Canadian way-aye.

Wow it’s been a while. I thought I’d posted the last journal club here – which was back in Mid September – we reviewed The Poker trial – I’ll get a review posted ASAP, but on with the task at hand. This slight loss of memory ties in nicely with the paper we reviewed today…

To pan-scan or not pan-scan REACT2.

Its been a few weeks since the last post and there’s a few reasons for that. Largely because its the summer and I’ve been outside with the kids a bit more than usual, trying to get my work-life balance tipped a bit more towards home, 6 months into being a consultant. It’s also hard to…

Journal Club: COPD: DE-CAF or not DECAF that is the question

Date of JC: 29/06/16 Paper: Validation of the DECAF score to predict hospital mortality in acute exacerbation of COPD Published: Thorax 2016 Your next patient in majors is a 70 year old smoker who’s been told he has COPD and uses inhalers daily. He continues to smoke and gets a bit breathless when he goes…

Dental pain and poisonous paracetamol

I seem to have had one of ‘those’ runs recently. In my past few weeks at work I’ve seen or been involved in the care of a number of folks who had inadvertently taken a paracetamol overdose trying to self medicate their dental pain. I think for me these cases highlighted a few important things…….

REVERT that rhythm……Journal Club May 2016

Date of JC: 18/5/16 Paper: Postural Modification to the standard valsalva for the emergency treatment supraventricular tachycardia (REVERT): A randomised controlled trial. Published: The Lancet 2015. Your next patient in resus is a 20-year-old guy who’s self presented with feeling breathless and the symptom of his heart racing, he’s alert but looks worried. Vitals are…