So you are thinking of acting up? CONGRATULATIONS – it means the end of your training is in sight. According to the RCEM guidance, you would need to have passed FRCEM and be in the final year of…
Fishing for Vandals
This morning I had a phone call from the police. He said that last night a man was filmed on CCTV smashing the windows of two police cars parked outside the local police station…
DNA CPR in the ED
DNA CPR or “do not attempt resuscitation” decisions are confusing to many. If discussed sensitively and correctly, they make a huge huge huge immeasurable difference to the hospital stay of the patien…
Hypnosis and EM
If we told you we knew of a medical practice that’s been around since the 18th century, with a strong evidence base, that can be utilised by any emergency physician, for the majority of patients (and …
Will you look at this ECG for me?
You are handed the ECG of a lady with known alcohol excess who has presented with at least 48 hours of vomiting. The ECG reveals one of her blood tests may be critical – but which one?…
Health Inequalities in the ED
Inequalities in health are nothing new… Whilst many things have improved with time, the COVID-19 pandemic has thrown some of the most stark differences in to light.…
Supporting Overseas Doctors
There are many components of looking after overseas doctors. Many of them are intuitive and seem common sense, but our experience suggests the basics are often done poorly. We define an overseas docto…
Holiday at Home
Lockdown. It’s looking likely to be extended for a while, and travel is looking less possible. Despite that, taking annual leave and having a rest is really important. But how can you occupy yourselve…
Books and EM
Whether it’s immersing yourself in the childhood nostalgia of the faraway tree, learning about more medicine, or learning about subjects allied to medicine, the book has a powerful hold on people.…
Doctor! Why Can’t I Walk?
A 65-year-old male presents to the emergency department (ED) by ambulance with an episode of collapse.…
CPD Podcast 11 – Simon Carley talks to Derek Prentice
Simon Carley talks to Derek Prentice…
An Incidentally Major Event – Memories of a Sleepy Mind
I was on a night shift, in a major trauma centre, still an ST3 at the time. We were actually having a nice night shift in not so cold weather. There was still a little flow of patients, we had some ro…
EMJ June 2020
This month Noel talks to Dr.Anju menon about glucose as an additional parameter in NEWS score…
CPD Podcast 10 – Simon Carley talks to Jason Smith
Simon Carley talks to Jason Smith…
Limited English Proficiency in the ED
It wasn’t until I spent some time working in France and in the DRCongo that I really developed an understanding of communicating in a second (or third) language, or not being able to communicate…
CPD Podcast 9 – Simon Carley talks to Katherine Henderson – part 3
CPD Podcast 7 – Simon Carley talks to Katherine Henderson number 3…
Leadership and Trust
Trust lies at the foundation of any relationship. A relationship without trust is never going to be long-lasting, or at least, a positive one. The same applies with the leader-follower relationship in…
CPD Podcast 8 – Simon Carley talks to Amar Mashru
CPD Podcast 8 – Simon Carley talks to Amar Mashru…
CPD Podcast 7 – Simon Carley talks to Jason Long
CPD Podcast 7 – Simon Carley talks to Jason Long…
CPD Podcast 6 – Simon Carley talks to Dan Horner
Simon Carley talks to Dan Horner…