Causes of reduced conscious level in North Dublin

[Apologies to anyone offended by the title, my tongue is firmly in cheek if that helps...] The hospital I currently work in is in one of the poorer areas of Dublin. There are a few hospitals with populations like ours but not many. It makes for an interesting working environment. As a result you become… [Continue Reading]

unconscious dog

Age Adjusted D-dimer Cut Offs

This paper recently published trying to confirm if it’s OK to raise the d-dimer cut off in older people. “Age-Adjusted D-Dimer Cutoff Levels to Rule Out Pulmonary Embolism: the ADJUST-PE Study.” 311, no. 11 (March 19, 2014): 1117–1124. doi:10.1001/jama.2014.2135. PMID 24643601 Hopefully you’ve heard about this already through ER Cast and over on BoringEM (if you want more… [Continue Reading]

PE Featured

Tasty Morsels of EM 037 – Heart Transplants

I keep a little, ever-expanding note on my phone where I jot down little morsels of goodness that I pick up while listening to or reading one of the many excellent sites/podcasts in the useful resource section. They’re useful in a kind of “board review” way. I tend to skip the really basic stuff and… [Continue Reading]

heart transplant featured

The ProCESS Trial

This trial is kind of big news. Big news in the way TTM was. Be sure to get the paper (which is free for now) and the supplement that goes with it. There has already been some great discussion online so be sure and check it out. EMCrit interviews the lead author HippoEM Blog has… [Continue Reading]


(Yet more) reflections on SMACC Gold

Lots of other folk have put their reflections on SMACC Gold online and I’m here to join the crowd. I missed the first SMACC as purse strings were a little tight. They’re a little tight this year too but I really wasn’t going to miss two SMACCs… It was great to have an opportunity to… [Continue Reading]

i heart smacc

PK Talk for SMACC 2014

Here’s my PK talk for SMACC for 2014. The PK talks for those who can’t remember are short, snappy focused presentations on anything – the SMACC ones are of course focused on critical care. I presented the same material at our  joint ICU/ED meeting a few days ago so I figured I may as well […]

Respond Featured

Respond 2014

I had the pleasure of running a couple of very brief social media workshops at respond 2014 a few days ago. This was the first national conference for community first responders and got off to a great start with more than 300 people. Community first response was an alien idea to me until a fee […]

Mater ED Featured

Work as an Emergency Department registrar in Dublin

Are you an emigrated Irish doc in training in Oz or NZ and fancy coming home for 6 months as part of your training? Are you a kiwi or Aussie and fancy some time in Europe as part of your training?* Then these might be the jobs for you. These aren’t just the standard queue […]

methadone grafiti

Methadone in the ED

[Feature image via WeeMikey] In my current practise environment, a LOT of my patients are on long term methadone replacement. Indeed such is the unique nature of our local population that there’s quite a lot of research into intravenous drug use and even HIV. In a few years if my smart colleague gets all the data together, […]

Severn Featured

Severn Deanery 2014 Social Media Workshop

This is the post I created for the guys who attended the Social Media workshop at the Severn Deanery meeting in January 2014. It is based loosely on material from the Irish EMS gathering that I took part in last year Hopefully something from the 2 hrs stuck in your brains so that you’re not […]