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Author Archives: Andy Neill

Should we anti-coagulating all those patients in plaster casts?

9 Oct

Interesting enough question. We know having a big cast on is a risk factor for VTE. I’ve seen one young guy die from a massive PE with a big cast on his leg. It mightn’t be common, it mightn’t justify … Read More »

critical appraisal

ED Consultant night shifts

25 Sep

In the UK and Ireland we’re a bit short on senior support. Here’s a nice paper on what it looks like if consultants do night shifts

critical appraisal consultants, emergency medicine, night shifts, staffing, wrexham model 12 Comments

Patients per hour, turn-over and efficient use of staff

22 Sep

If the doctors are the major bottle neck in the ED – then how do we best use their time?

thinking about medicine efficiency, patient flow, turn over 8 Comments

The search for the perfect log book

20 Sep

We all need to keep a record of what we do and our case mix and procedures. Here’s how I do mine

geekery 18 Comments

Things I have yet to see

17 Sep

There are lots of major EM diagnoses that are just plain rare. Here’s a list of ones I’m yet to see

thinking about medicine diagnosis, emergency medicine 15 Comments

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