Workshop for EMS Gathering

This is the post I created for the guys who attended the “Social Media and EMS” workshop at the Irish EMS Gathering in May 2013. Hopefully something from the 2.5 hrs stuck in your brains so that you’re not seeing all this as entirely new material. Twitter Firstly we got everyone to join Twitter. You… [Continue Reading]

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EMS Gathering – Killarney, Ireland. May 15th-16th 2013

Just a little shout out to a conference I’m speaking at next week. The Irish EMS gathering is a conference aimed at pre-hospital specialists being held in Co Kerry, way over there in the south west of Ireland. The program (see morning sessions, afternoon sessions and evening sessions) is a good mix of academic and… [Continue Reading]

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Standing Test for Long-QT syndrome

This was all brand new to me. I was reviewing a syncope patient left over from the night shift before. The hand over was: recent change in anti-hypertensives, now feeling weak and dizzy about 1 week. Syncopal episode at dinner table last night. She’d been in the department overnight, got some fluids, bloods and an… [Continue Reading]

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Anatomy for Emergency Medicine 027: Basic Anatomy of Abdomen and Pelvic Trauma

This is the second part of a recent lecture I gave to some first year med students to get across how important their anatomy is to understanding trauma. First part lives here You may have to click through to the GMEP site to see the full HD version PDF of slides

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Cranial Nerve Palsies -III, IV and VI

This isn’t so much an AFEM post but more of a brief review of a paper and a video. Everyone finds neuroanatomy tough, you’re not alone. Most of it doesn’t really concern us in the ED that much. However we will have people attend or be referred with isolated III, IV and VI palsies. If… [Continue Reading]

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Anatomy for Emergency Medicine 026: Basic Anatomy of Chest Trauma

This is a screencast of a recent lecture I gave to some first year med students. It’s mainly to give the students some clinical info to keep their regular anatomy teaching relevant. It’s not designed to be a comprehensive intro to trauma in any way. It’s longer than the usual podcasts so I’ve split into [...]

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Post-Exposure Prophylaxis Guidelines for Ireland

I mentioned these on Twitter a while back but I thought they deserved a little plug. All hospitals have pretty good policies and procedures about what to do when a staff member gets a needlestick injury. A lot of these patients in the systems I’ve worked in come to the ED out of hours. It’s [...]

via NetDance on flickr

Full Capacity Protocols

[image via NetDance on Flickr. CC License] Hospitals are busy places. We have no space, no beds, no staff and inevitably less money to make this all happen. This is the situation we have. We’re fairly pragmatic folks so we find ways to manage the work more efficiently and try and do more as an [...]

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EM docs are more burnt out than most but none of us are great…

The night shift insomnia that leaves me with about 4 hrs sleep a day has given me the chance to catch up with a bit of reading so here’s a paper for you. This got a very amount of Twitter attention when it came out as it was a bit of a headline grabber: Shanafelt, [...]

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EMJ Publication: Impact of Social Media at ICEM2012

ICEM 2012 was a big deal for me. Great craic, the coining of the term FOAM, meeting lots of great EPs and learning a whole ton of good stuff. Twitter was a big thing at the conference and a few of us, (myself, Cadogan and John Cronin) had the idea of documenting the use of [...]