IAEM Position Paper on Trauma

Major trauma care in Ireland lags behind a lot of its western contemporaries (think UK, Aus/NZ and the US). We have 28 hospitals receiving major trauma (for a population of 4.5 million). We do not have a trauma system. We compare fairly poorly to our contemporaries who do have trauma systems. Not wanting to make… [Continue Reading]

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Tasty Morsels of EM 043 – Vibrio

As always, this is from the ever expanding google doc on bits and bobs I read and learn from and transfer here for all our learning pleasure. At risk of this becoming an “Andy reviews EM:RAP” section here’s another one from the Dec 2014 program, again from the bounce back section. And once again it’s… [Continue Reading]

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Tasty Morsels of EM 042 – MucorMycosis

As always, this is from the ever expanding google doc on bits and bobs I read and learn from and transfer here for all our learning pleasure. This time it’s the somewhat obscure MucorMycosis. This is of course from the just released Dec 2014 EMRAP [paid access but worth it] and I’m sure lots of… [Continue Reading]

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Medical Complications of Pregnancy

This is a talk I gave recently for our registrar teaching morning. Not the sexiest presentation (forgive the bullets) but hopefully will give you the basic, textbook level info a al foamcast style   Direct Download [60mb] References: NICE Guidelines SIGN Guidelines [pdf] Rosen’s 8th Chapter 178 Kline Systematic Review on VTE in pregnancy ESC Working… [Continue Reading]

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SMACC Gold Neuroanatomy Talk

Back in March 2014 I had the pleasure of speaking at SMACC Gold in Australia. The whole thing was great fun and I’m sure you’re all aware it’s going to Chicago in May 2015 so be sure to be there. Indeed Registration opens tonight (in the UK at least) so check it out!!! Every talk… [Continue Reading]

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SMACC Chicago Programme now available!

If you’ve found your way to this blog at all then I’m sure you’ve heard of SMACC. The programme for the next conference in Chicago 23-26th June 2015 has just been released. Be sure and check out the programme to get an idea of the quality experience you can expect. It’s great to see some names […]

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tPA for stroke debate at IAEM 2014

The 2014 meeting of IAEM was a great experience. For a country of 4.5 million with just over 70 emergency physicians we put on a pretty good show I think. I like to use “we” even though I had no part to play in organising the damn thing. Credit to David Menzies for leading the […]

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Approach to the IDU in the ED from the CFN

[Featured Image: Creative Commons, danielleellis55 on Flickr.] First off here’s a video I recorded for the CEM FOAMed network on “approach to the injecting drug user“. Be sure to subscribe on iTunes and check out the site. There’s a podcast feed and a blog feed, so be sure to get both. [Direct Download ]]   Injecting Drug […]

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RCT of ED Renal Ultrasound for renal colic

The Trial Smith-Bindman R, Aubin C, Bailitz J, Bengiamin RN, Camargo CA Jr., Corbo J, et al. Ultrasonography versus Computed Tomography for Suspected Nephrolithiasis. N Engl J Med. 2014 Sep 18;371(12):1100–10.  They managed to come up with the STONE trial as acronym for this one. [Study of Tomography Of Nephrolithiasis Evaluation] This is big news […]

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Exit Block: What it is and why it’s dangerous.

This a great video from the college on the significance of exit block and the effects it’s having on our patients and staff. This, along with the recruitment crisis is, I think the biggest issue facing emergency medicine in both Ireland and the UK. Well worth a watch. [H/T Simon Carley for the orignial tweet where […]