Shows
The St.Emlyn’s PodcastEp 270 - Insights on Cannabis Edibles, Pre-Hospital Thoracotomy, and more
In the March 2025 episode of the St. Emlyn's podcast, Iain Beardsell and Simon Carley discuss a variety of topics covered in their latest blog posts and podcasts.
Key discussions include the implications of cannabis edibles in emergency departments, expert viewpoints on pre-hospital resuscitative thoracotomy for traumatic cardiac arrest, and the use of ketamine for opioid-dependent patients.
Highlights from recent conferences such as The Big Sick, IncrEMentuM 2025, and the Royal College of Emergency Medicine (RCEM) conference in Birmingham are shared.
The episode also delves into department culture, addressing resilience, risk management, and other critical topics in emergency medicine. The podcast concludes with...2025-06-0431 minThe St.Emlyn’s PodcastEp 269 - Monthly Round Up Janury 2025 - Prehospital Papers Galore!....In this episode of the St Emlyn's Podcast, Iain Beardsell and Simon Carley revisit January's blog posts and podcasts, covering several seminal studies relevant to emergency and pre-hospital care.
Topics include the Sub 30 Feasibility Study on pre-hospital ECMO, comparisons of pre-hospital versus in-hospital emergency anaesthesia, variations in maintenance of pre-hospital anaesthesia in trauma patients, and the effectiveness of physician-led pre-hospital teams.
They also discuss the economic implications of advanced pre-hospital interventions and highlight reviews from the London Trauma Conference.
00:00 Introduction and January Recap
01:58 Pre-Hospital ECPR Study: The Sub 30 Study
07:09 E...2025-05-1423 minThe St.Emlyn’s PodcastEp 268 - Top Papers of 2024 from The Big Sick ConferenceIn this special edition of the St Emlyn’s podcast, Iain Beardsell and Simon Carley review the top medical papers of 2024, originating from Simon’s talk at The Big Sick conference in Zermatt. The discussion includes a comparison of non-invasive versus arterial pressure monitoring, the association of intra-arrest arterial blood pressure with ROSC, the efficacy of serratus anterior plane blocks for rib fracture management, and the evaluation of a micro axial flow pump in cardiogenic shock.
They also delve into double sequential external defibrillation in refractory out-of-hospital cardiac arrest and provide a rapid-fire review of additional critical pape...2025-04-2322 minThe St.Emlyn’s PodcastEp 267 - Social Media and Artifical Intelligence in Medicine with Peter Brindley at LTCJoin hosts Iain Beardsell and Natalie May at the London Trauma Conference as they welcome Peter Brindley back to the St Emlyn’s podcast. In this engaging episode, they delve into the nuances of social media, digital footprints, and the burgeoning influence of artificial intelligence in medicine. Brindley discusses the importance of maintaining an authentic digital presence and addresses the impact of misinformation and disinformation in the digital age. They explore the challenges and opportunities presented by AI in clinical decision-making and share insights on navigating this evolving landscape as healthcare professionals. Tune in for a thought-provoking conversation on st...2025-04-1618 minThe St.Emlyn’s PodcastEp 266 - Monthly Round Up February 2025 - Skills Fade, Resuscitation Targets and moreIn this episode of the St Emlyn's podcast, Iain Beardsell and Simon Carley reflect on their experiences at recent conferences, including the IncrEMentuM 2025 and The Big Sick. They discuss the exceptional quality and innovative formats of presentations at IncrEMentuM, emphasizing the enthusiasm and positive atmosphere. The discussion also covers key emergency medicine topics from February's blog posts, including the maintenance of clinical skills, the importance of diastolic blood pressure in resuscitation, and a systematic review on resuscitative hysterotomy. Additionally, they explore new guidance on the diagnosis of death, particularly in intensive care settings. Special thanks to Galen Pharmaceuticals and...2025-04-0926 minThe St.Emlyn’s PodcastEp 265 - Excellence in Debriefing with Richard Lyon at LTCIn this episode of the St Emlyn's Podcast, Iain Beardsell and Natalie May speak with Richard Lyon, an emergency doctor and deputy medical director of the air ambulance service at Kent, Surrey, and Sussex. Recorded at the London Trauma Conference 2024 in Kensington, Richard shares experiences and lessons from his talk on five critical cases that shaped him as a clinician and human being.
Discussion topics include the importance of case debriefing, the impact of video recording in clinical practice, overcoming the challenges of self-reflection, and the evolving culture of pre-hospital emergency medicine. Richard emphasizes the significance of supportive and structured d...2025-03-2621 minThe St.Emlyn’s PodcastEp 264 - High Performance Teams with Dan Dworkis at Tactical Trauma 24In this episode of the St Emlyn's podcast, hosts Iain Beardsell and Liz Crowe welcome Dan Dworkis, an ER doctor from Los Angeles and host of the Emergency Mind podcast. Dan shares his expertise on optimizing team and individual performance in high-stress medical environments. The discussion delves into the concept of excellence beyond merely avoiding negative outcomes, using a rosebush metaphor to illustrate the need for proactive growth. They explore how teams can benchmark and improve performance, the importance of creating a culture of continuous improvement, and strategies to maintain positivity and energy even in challenging conditions. Dan also highlights...2025-03-1216 minThe St.Emlyn’s PodcastEp 263 - Hyperbaric Medicine with Jeff Kerrie at LTCIn this episode of the St. Emlyn's podcast, hosts Iain Beardsell and Natalie May discuss hyperbaric medicine at the London Trauma Conference with Dr. Jeff Kerrie, an internal medicine physician from Canada. Dr. Kerrie provides insights into dive and hyperbaric medicine, covering the basics of hyperbaric therapy, its applications, and key practices for emergency departments when treating patients with decompression illness. The conversation also touches on misconceptions and unregulated uses of hyperbaric chambers, emphasizing the importance of consulting certified medical professionals.
00:00 Introduction to the Podcast and Guests
00:58 Understanding Hyperbaric Medicine
01:33 Dive Medicine and Decompression Illness
04:15 Emergency Response and Trea...2025-03-0513 minThe St.Emlyn’s PodcastEp 262 - GoodSam Update with Mark Wilson at LTC 2024In this episode, Iain Beardsell and Natalie May speak with neurosurgeon Mark Wilson at the London Trauma Conference. Mark provides an in-depth look at the evolution of the GoodSAM app over the past decade. Initially designed to alert off-duty trained individuals to assist in emergencies, particularly for cardiac arrests and impact brain apnoea, the app has grown to include applications in police services, public health during COVID-19, and community volunteer efforts.
It employs advanced technology, such as real-time video guidance and AI, to offer immediate assistance and improve outcomes in medical emergencies and other crises.
Mark's insights shed light on ho...2025-02-2617 minThe St.Emlyn’s PodcastEp 261 - Moral Injury with Caroline Leech at Tactical Trauma 24In this episode of the St Emlyn's podcast, hosts Iain Beardsell and Liz Crowe welcome back Caroline Leech, a emergency medicine consultant with extensive pre-hospital care experience. Caroline discusses the concept of moral injury, delving into its distinction from moral distress. She introduces three mechanisms of moral injury: acts of commission, acts of omission, and betrayal. Caroline provides insightful examples from emergency medicine to illustrate these concepts, emphasizing the importance of identifying and addressing moral injury to support healthcare professionals. The discussion highlights the emotional and cognitive distress faced by emergency responders and the necessity for professional psychological support when...2025-02-1915 minThe St.Emlyn’s PodcastEp 260 - Monthly Round Up December 2024 - Chest trauma, IO access, AI and moreIn this season-ending episode of the St Emlyn's podcast, Iain Beardsell and Simon Carley come together in Zermatt, Switzerland, to discuss recent studies and updates.
They highlight a randomized control trial on early exercise in blunt chest wall trauma, revealing its limited impact on recovery outcomes. Additionally, they explore the long-term safety of intraosseous access based on new evidence from Denmark.
The episode also provides insights into updated imaging guidelines for paediatric trauma and broad considerations on the growing role of AI in healthcare, especially in emergency settings. There are closing remarks on recent blog...2025-02-1220 minThe St.Emlyn’s PodcastEp 259 - Skills Fade with Nathalie Pattyn at Tactical Trauma 24In this episode of the St Emlyn's podcast, hosts Iain Beardsell and Liz Crowe talk with Nathalie Pattyn at TacTrauma24 in Sweden about the phenomenon of skills fade amongst emergency physicians.
Nathalie discusses her extensive background in medicine, psychology, and neuroscience, and shares insights from her research on how skills can deteriorate during low workload deployments, such as her 15-month clinical stint in Antarctica.
They delve into the lack of systemic measures to address returning to practice after long absences, how cognitive and psychomotor skills are affected by skill fade, and the contrast between teaching...2025-02-0516 minThe St.Emlyn’s PodcastEp 258 - Compassionate Resuscitation with Matt Hooper at LTCWelcome to our first episode recorded at the London Trauma Conference 2024.
In this episode, hosts Iain Beardsell and Natalie May are joined by Matt Hooper from Adelaide to discuss his unique career path, from emergency medicine to pre-hospital and retrieval medicine, intensive care, and more recently, palliative and end-of-life care.
The conversation centres around the principles of end-of-life care, particularly in acute and traumatic scenarios, and how these can be integrated with life-saving efforts. Key points include the challenges of shifting focus from survival to quality of death, the importance of recognizing and supporting witnesses...2025-01-2924 minThe St.Emlyn’s PodcastEp 257 - Ten Second Triage with Sean Brayford Harris at Tactical Trauma 24In this episode of the St Emlyn's podcast, hosts Iain Beardsell and Liz Crowe speak with Sean Brayford Harris, a paramedic and interoperability development officer with the London Ambulance Service, about the development of the 10 second triage tool—a new, streamlined method for triaging casualties in high-stress environments like major incidents.
They discuss its creation and implementation, including collaboration with the Metropolitan Police and other emergency services. Key points include the shortcomings of the previous 'sieve and sort' system, the challenges of developing a simplified tool, and the benefits of this new approach for non-medical first responders....2025-01-2219 minThe St.Emlyn’s PodcastEp 256 - Monthly Update November 2024 - Learning Culture, Chest Drains, Arterial Lines and moreDuring Winter's Challenges, Iain Beardsell and Simon Carley reviewed the November 2024 blog posts for St Emlyn's podcast, marking the start of 2025. They discuss the busy state of emergency departments, critical incidents, and the importance of maintaining a learning culture.
They highlight the upcoming Big Sick Conference in Zermatt and the IncrEMentuM in Spain, noting their potential benefits for networking and education.
Simon emphasizes creating a psychologically safe environment and fostering curiosity, growth, and knowledge-sharing among emergency department staff. They also review a range of medical studies, including those on small bore vs. large bore chest...2025-01-1531 minThe St.Emlyn’s PodcastEp 254 - Monthly Round Up October 2024 - Toxicology, Cardiac Arrest and moreIn this episode of the St Emlyn's podcast, Iain Beardsell and Simon Carley provide a comprehensive update for October 2024. They discuss key blog posts covering diverse medical topics, including highlights from the Royal College of Emergency Medicine's academic science conference focusing on toxicology, high-potency opioids, novel benzodiazepines, and the use of flumazenil.
They also explore the Green ED project and the impact of climate change on healthcare. Additionally, they delve into recent research on ventricular fibrillation pad positions, the use of tranexamic acid (TXA) in trauma care, and the importance of maintaining a positive outlook amidst winter...2024-12-1827 minThe St.Emlyn’s PodcastEp 253 - Highlights from the London Trauma Conference 2024In this episode of the St Emlyn's podcast, Iain Beardsell and Natalie May reflect on their experiences at the London Trauma Conference, a four-day event covering various aspects of trauma and pre-hospital care.
They discuss key takeaways from sessions on cardiac arrest, including talks on perioperative cardiac arrest and the prognostication of cardiac arrest patients.
The episode also delves into wellness in the medical field, featuring insights from senior emergency physician Rod McKenzie and pre-hospital expert Matt Hooper on practical psychosocial care. Additionally, the podcast highlights advancements in trauma care, defibrillation strategies, and the importance...2024-12-1119 minThe St.Emlyn’s PodcastEp 252 - ECMO in Trauma with Chris Bishop at Tactical Trauma 24In this episode of the St Emlyn's podcast, hosts Iain Beardsell and Liz Crowe are joined by Chris Bishop, a clinical research fellow at the Centre for Trauma Sciences at Queen Mary University of London. Chris discusses his PhD research on veno-arterial ECMO support for cardiogenic shock following major trauma haemorrhage and explains the principles and applications of ECMO, particularly in trauma patients. The conversation covers the current practices, challenges, and future directions in the use of ECMO for trauma care, including multidisciplinary decision-making, patient selection criteria, and pioneering techniques like selective aortic arch perfusion and emergency preservation and...2024-12-0413 minThe St.Emlyn’s PodcastEp 250 - Monthly Round Up September 2024 - Patient Experience in the ED, Dirty Adrenaline, and More!In this episode of the St Emlyn's podcast, Iain Beardsell and Simon Carley discuss various facets of emergency medicine.
They highlight a study on patient experience in emergency departments, focusing on issues like loss of autonomy, unmet expectations, and vulnerability. Suggestions for improvement include better communication, effective signage, and patient comfort.
The podcast also covers a 'dirty adrenaline drip' study from Australia, emphasizing remote inotrope management.
Discussions include the use of arterial blood pressure monitoring in pre-hospital settings and the merits of CT scans beyond the traditional six-hour window for diagnosing subarachnoid haemorrhage.2024-11-2028 minThe St.Emlyn’s PodcastEp 248 - Prehospital eCPR with Alice Hutin at Tactical Trauma 2024Join Iain Beardsell and Liz Crowe in an engaging discussion with Alice Hutton, an emergency physician from Paris, at Tactical Trauma 24 in Sundsvall, Sweden.
The episode delves into the implementation and logistics of pre-hospital eCPR (Extracorporeal Cardiopulmonary Resuscitation) by SAMU in Paris. Alice shares insights from her PhD research on refractory cardiac arrest and discusses the use of therapeutic hypothermia, including experimental approaches like total liquid ventilation.
Key topics include team composition, decision-making for patient eligibility, real-time management strategies, bypassing traditional emergency rooms for specialized facilities, and the challenges of scene management, family communication, and...2024-11-0614 minThe St.Emlyn’s PodcastEp 247 - August 2024 Round-Up - Goldilocks Moments, Nasal Analgesia, and Public Health in the EDIn this episode of the St. Emlyn's podcast, hosts Iain Beardsell and Simon Carley share their insights from recent conferences, including Gateshead's RCEM scientific conference, Tactical Trauma 24 in Sweden, and the Premier Conference.
They explore 'Goldilocks moments' for executing life-saving procedures in critical care, emphasizing optimal timing for interventions like thoracotomies. The episode also discusses innovative training methods like shadowboxing to enhance decision-making in high-stress medical scenarios. In addition, they review a significant trial on smoking cessation in emergency departments, highlighting its potential role in broader public health initiatives, including sexual health and HIV screening.
...2024-10-3020 minThe St.Emlyn’s PodcastEp 245 - Leading through failure with Kevin Cyr at Tactical Trauma 2024Recorded at Tactical Trauma 2024, in this episode of the St. Emlyn’s podcast, Iain Beardsell and Liz Crowe sit down with Kevin Cyr, commander of a SWAT-like unit in the Royal Canadian Mounted Police, to discuss leadership, failure, and resilience in high-stakes environments. Kevin shares the powerful story of a tragic hostage situation that resulted in the unintended death of the hostage by the police, a failure of the highest order. Through this tragedy, Kevin highlights the importance of visible leadership, team resilience, and learning from failure in both law enforcement and healthcare settings.
Key Themes:
1...2024-10-1834 minThe St.Emlyn’s PodcastEp 244 - July 2024 Monthly Update - Chest Pain, REBOA, Lidocaine patches and lots of paediatric emergency medicineIn this episode, hosts Iain Beardsell and Simon Carley provide the St Emlyn's podcast blog update for July 2024. They discuss their recent experiences, including Simon's trip to Malaysia for the MRCEM exams and Iain's upcoming attendance at the Tactical Trauma conference in Sweden.
The main topics include a systematic review on the Manchester Acute Coronary Score (MACS) and its application in emergency departments, the potential influence of AI in diagnosing occlusive myocardial infarctions through ECGs, and guidelines for managing non-fatal strangulation cases. Additionally, they touch on the feasibility of using lidocaine patches for elderly patients with rib...2024-10-0627 minThe St.Emlyn’s PodcastEp 243 - The Subarachnoid Haemorrhage in Emergency Department (SHED) StudyIn this episode of the St Emlyn's podcast, Iain Beardsell is joined by Dan Horner, a consultant in Emergency Medicine and Neurocritical Care, and Tom Roberts, an Emergency Medicine Registrar and clinical lecturer, to discuss their recently published SHED study on subarachnoid haemorrhage in the Emergency Department (ED). This landmark study, published in the Emergency Medicine Journal, explores the safety of CT scans in diagnosing subarachnoid haemorrhage up to 24 hours after headache onset and evaluates the role of further investigations like a lumbar puncture.
The study examines acute severe headache presentations in the ED and the diagnostic...2024-09-2641 minThe St.Emlyn’s PodcastEp 235 - Eating Disorders in the Emergency Department with Anna Kyle at PREMIER 2024In this episode of the St Emlyn's podcast, Iain Beardsell introduces a talk by Anna Kyle, a consultant paediatrician from Somerset, delivered at the Premier conference in June 2024. Anna explores the complexities of assessing and managing eating disorders in young patients, including young adults. Highlighting the critical nature of eating disorders, she notes a 90% increase in admissions over five years and emphasizes the deadly risks, particularly anorexia nervosa with its 10% lifetime mortality rate. Kyle provides detailed guidance on recognizing symptoms, conducting risk assessments, and the importance of a thorough medical evaluation. She also touches on the MEAD guidance for...2024-07-0316 minThe St.Emlyn’s PodcastEp 164 - COVID-19 Journal Club #3Welcome to our third webinar and journal club reviewing recent research and featuring COVID-19 updates, hosted by the University of Manchester, Manchester Royal Infirmary and Royal College of Emergency Medicine in collaboration with St Emlyn’s.
The live event took place on Tuesday 28th April at 11am BST (10am GMT).
The panel was hosted by Rick Body The panel includes Prof Paul Klapper (Professor of Clinical Virology), Dr Charlie Reynard (NIHR Clinical Research Fellow), Dr Dan Horner (RCEM Professor), Prof Pam Vallely (Professor of Medical Virology), Salim Rezaie (Emergency Physician and Founder of REBEL EM) and Prof Simon...2020-04-3055 minThe St.Emlyn’s PodcastEp 163 - COVID-19 Journal Club #2
Welcome to our second webinar on recent research about COVID-19, hosted by the University of Manchester, Manchester Royal Infirmary and Royal College of Emergency Medicine in collaboration with St Emlyn’s.
The panel was hosted by Rick Body. The panel includes Prof Paul Klapper (Professor of Clinical Virology), Dr Charlie Reynard (NIHR Clinical Research Fellow), Prof Pam Vallely (Professor of Medical Virology), Dr Anisa Jafar (Academic Clinical Lecturer), Dr Casey Parker and Prof Simon Carley (you know him…) to discuss six papers about COVID-19 infection.
The live event took place on Tuesday 21st April 2020
References: ...2020-04-2543 min
RCEM LearningJuly 2019This month we have Aromatherapy for Nauseated ED Patients | Rob Rogers at EMEC - Medutopia, Legacies and Inspiration | Hugo Dowd - Syncope at Belfast CPD | Iain Beardsell - Diagnostics at Belfast CPD | Cardioversion for A Fib | 2019-07-011h 07
Coda ChangeBurnout, Blissful Ignorance and Addicted to SMACC2019-01-1415 minThe St.Emlyn’s PodcastEp 111 - April 2018 Round UpSt Emlyn's Podcast: April Review and Key Insights
Welcome to the St. Emlyn’s podcast, your monthly source for insightful discussions and reviews from the world of emergency medicine. I’m Iain Beardsell, and alongside me is Simon Carley. In this edition, we're diving into the posts we’ve covered on our blog in April. After a grueling winter, we are finally catching up. We’re recording this in May, and it's a significant achievement for us. Let’s delve into the highlights and key takeaways from April.
Catching Up with St. Emlyn’s
Firstly, Simon and I are thrill...2018-05-2625 minThe St.Emlyn’s PodcastEp 107 - January 2018 Round UpSurviving a Relentless Winter: Reflections and Insights from St. Emlyn's
Welcome Back to the St. Emlyn's Podcast
Welcome to the St. Emlyn's podcast. I'm Iain Beardsell, and I'm Simon Carley. We are delighted to be back with you after what can only be described as a rather tricky winter. The winter season has always been challenging for emergency departments across the UK, but this year felt especially relentless. In this blog post, we will reflect on the past few months, share key insights, and look forward to exciting events on the horizon, including the St. Emlyn's Live conference.
...2018-04-0224 minThe St.Emlyn’s PodcastEp 91 - Critical Appraisal Nugget 7: Relative risk, Absolute risk and NNT in 5 minutesA critical appraisal nuggest on simple ways to understand the true effect of an intervention. Also see this more in depth podcast done with Iain Beardsell
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2017-05-1505 minCoda ChangeSubmassive PE should be ThrombolysedAnand Swaminathan and Iain Beardsell debate the use of thrombolytics in the treatment of submassive pulmonary embolism (PE). PE is a spectrum of disease. Patients should be treated differently depending on where they are on the spectrum. Subsegmental PE may need no treatment at all, whereas massive PE is unlikely to improve without thrombolytics. Anand argues for the use of thrombolytics. Evidently, time is critical when dealing with patients and Anand posits that thrombolytics gives the physician control over time. Submassive PE can deteriorate, leading to massive pulmonary embolism...2017-01-2223 minThe St.Emlyn’s PodcastEp 83 - The Teaching Course in NYC Round UpInsights from the New York Teaching Course: Enhancing Medical Education
Welcome to the St. Emlyn's blog! I'm Iain Beardsell, sharing insights from the recent New York Teaching Course, an event organized by Rob Rogers and Saline Rissai. This course brought together educators from diverse backgrounds, including pediatric surgeons, flight nurses, PhD students, and even a veterinarian, all united by the goal of becoming better educators. Notable attendees included Ross Fischer, Ashley Leibig, Sandra Viggers, and Camilla Sauronson, who shared their experiences and key takeaways.
Diverse Expertise and Shared Learning
The New York Teaching...2016-11-1711 minThe St.Emlyn’s PodcastEp 81 - Difficult Conversations with Children in Critical Care with Liz Crowe
Helping Children Understand Tragedy: Guidance for Parents and Professionals
In a recent St Emlyn's podcast, Iain Beardsell and Liz Crowe, an advanced social worker in a pediatric intensive care unit in Brisbane, explored the critical topic of how to communicate with children during tragic situations. The discussion emphasized the importance of honesty and directness when dealing with topics like illness, death, and other forms of hardship.
Understanding the Context
Historically, children in many cultures were more regularly exposed to the realities of life, such as birth and death. In contrast, modern Western societies...2016-10-1217 minThe St.Emlyn’s PodcastDAS SMACC update and registrationIain Beardsell, Simon Carley and Roger Harris catch up in Vienna to give you the back story on DAS SMACC, registtion and speakers.
SMACC DUB sold out in a matter of hours and this year is likely to be the same. Make sure you're ready to go on the 26/10/16 when registration opens.2016-10-0400 minThe St.Emlyn’s PodcastEp 69 - SMACC Dublin Day 1 Round UpDay One Highlights from the Smack Dub Conference: A St Emlyns Overview
Welcome to the St Emlyns blog! We, Iain Beardsell and Simon Carley, are thrilled to report from the first day of the Smack Dub Conference in Dublin. It's been a while since our last update, and we're eager to share the day's experiences, which were filled with emotional moments, innovative presentations, and deep discussions. Here's a summary of the key events and takeaways.
Opening with a Tribute to John Hinds
The conference started early at 8 AM, with the opening session dedicated to the memory of...2016-06-1509 minThe St.Emlyn’s PodcastEp 66 - When Professional and Personal Worlds Collide with Liz CroweNavigating Personal and Professional Boundaries in Healthcare
In this St. Emlyns blog post, Iain Beardsell and Liz Crowe discuss the challenging scenarios healthcare professionals face when their personal and professional lives intersect, particularly in emergency and critical care settings. These situations are complex, requiring careful navigation to maintain ethical standards and patient confidentiality.
Understanding Dual Roles
Healthcare professionals often encounter situations where they have a personal connection with a patient. This could be someone they know vaguely, a close friend, or even a family member. Such instances require careful reflection on whether to act as...2016-02-2425 minThe St.Emlyn’s PodcastEp 63 - The Role of UK Trauma Units with Tim Coates (LTC)Iain Beardsell joins Tim Coats, chair of the UK Trauma Audit Network, to discuss the role of trauma units within major trauma networks.2016-01-1312 minThe St.Emlyn’s PodcastEp 55 - Communicating (not Breaking) Bad News with Liz Crowe
Communicating Difficult News in Emergency Medicine: A Guide from St Emlyns
Introduction
Effective communication of difficult news is a critical skill in emergency medicine. This guide, based on a discussion between Iain Beardsell and Liz Crowe, explores best practices for delivering challenging information to patients and their families, emphasizing compassion and clarity.
The Importance of Language
The terminology used when delivering bad news can significantly impact the recipient's perception. Liz Crowe suggests avoiding phrases like "delivering bad news" or "breaking bad news," as they imply a one-time transaction. Instead, "communicating difficult news" emphasizes an ongoing...2015-09-0526 minThe St.Emlyn’s PodcastEp 50 - All in a day's work (SMACC 2015)In this episode of the St Emlyn's podcast, Simon Carley and Iain Beardsell share insights from the SMACC 2015 conference in Chicago, focusing on the holistic experience of being a clinician. Ian delves into a personal and poignant case involving a 14-year-old boy named Charlie, who tragically died from traumatic injuries. Ian discusses the profound emotional impact this case had on him, the lingering doubts it created, and how it influenced his professional and personal life. This episode highlights the emotional challenges faced by emergency medicine practitioners and underscores the importance of mental resilience, compassionate communication, and self-care.
00:00 Introduction a...2015-06-2419 minThe St.Emlyn’s PodcastEp 49 - SMACC Workshops Review and PearlsSMACC Chicago: Insights, Learning, and Community at St Emlyn's
The SMACC (Social Media and Critical Care) Conference in Chicago brought together healthcare professionals and thought leaders from around the world. The St Emlyn's team, comprising Iain Beardsell, Simon Carley, Rick Boddy, and Natalie May, participated in various workshops and sessions, sharing their experiences and insights. This blog post captures the essence of the conference, highlighting key learning outcomes and the vibrant community spirit.
Evidence-Based Medicine: From Theory to Practice
Simon Carley kicked off the day with a workshop titled "Gambling with the Evidence," focusing on practical applications...2015-06-2412 minThe St.Emlyn’s PodcastEp 40 - Opiate overdose in the EDManaging Opiate Overdoses: Key Insights from St Emlyns
Opiate overdoses are a common and critical issue faced in emergency departments, especially in urban areas with prevalent drug use. This guide, based on insights from Dr. Simon Carley and Dr. Iain Beardsell, provides an in-depth look at recognizing, treating, and managing opiate overdoses, including potential complications and best practices for patient care.
Recognizing Opiate Overdoses
Patients present with opiate overdoses either accidentally or intentionally, including drug addicts, elderly patients overdosing on prescriptions, and those attempting self-harm. Recognizing an overdose involves identifying key symptoms:
Depressed Level...2015-02-2723 minThe St.Emlyn’s PodcastEp 39 - Prof. Tim Harris on Shock Assessment (LTC 2014)At the recent London Trauma Conference, Iain Beardsell from the St Emlyn's podcast interviewed Professor Tim Harris, an expert in Emergency Medicine at Bart's Health, who provided critical insights into the concept of shock. This discussion challenged traditional notions and emphasized the importance of understanding shock beyond simple metrics like blood pressure.
Redefining Shock: Beyond Blood Pressure
Professor Harris argued that shock should not be narrowly defined as a state of low blood pressure but rather as a condition of inadequate oxygen delivery to meet the body's needs. Traditional medical training often emphasizes measurable parameters...2015-02-2213 minThe St.Emlyn’s PodcastEp 34 - Intro to EM: Problems in Early PregnancyManaging Early Pregnancy Problems in the Emergency Department
Welcome to the St. Emelene's induction podcast. I'm Iain Beardsell, and I'm Natalie May. Today, we're discussing the management of early pregnancy problems in female patients presenting to the emergency department (ED). Some of you may rarely encounter these cases, while others may see them frequently. This podcast aims to provide a detailed guide on how to manage these patients effectively, optimizing our approach for better patient outcomes.
Understanding Early Pregnancy Problems
Early pregnancy problems can range from minor concerns to life-threatening emergencies. As emergency physicians, our primary goal...2015-01-1419 minThe St.Emlyn’s PodcastEp 30 - London Trauma Conference: Day two round up.London Trauma Conference Day 2: Comprehensive Summary
Welcome back to the St. Emlyn’s blog. I'm Iain Beardsell, joined by Natalie May, here to recap the second day of the London Trauma Conference at the Royal Geographical Society in Kensington. The day was filled with insightful talks and valuable teaching points, which we’re eager to share with you.
Elderly Trauma: Addressing Under-Triage
The day began with Marius Reigns focusing on the challenges of elderly trauma. Reigns highlighted the growing number of elderly patients in emergency departments and the critical issue of under-triage. Studies indicate that almo...2014-12-1010 minThe St.Emlyn’s PodcastEp 29 - London Trauma Conference: Day one round up.London Trauma Conference 2024: Day One Highlights
Welcome to the St Emlyn's blog! I'm Iain Beardsell, and I'm Natalie May. We’re excited to share insights from the London Trauma Conference 2024, held in the glamorous heart of Kensington, London. This year’s conference has brought together national and international experts, offering a wealth of knowledge on trauma care. Here, we’ll take you through some of the key highlights from day one, hoping to give you a feel for the event and perhaps persuade you to join us for the remaining days.
Karen Bray’s Dynamic Talk on Traum...2014-12-0911 minThe St.Emlyn’s PodcastEp 28 - Iain and Nat preview the amazing London Trauma Conference.Exciting Collaboration Between St Emlyns and the London Trauma Conference
Welcome to the latest St Emlyns podcast! I'm Iain Beardsell, and alongside Natalie Mace, we are thrilled to announce an exciting new collaboration between the St Emlyns team and the London Trauma Conference. This esteemed conference will take place in London next week, and we've been honored with the opportunity to attend as members of the press. We will be interviewing some of the prominent speakers participating in the event, marking a significant first for our team at St Emlyns.
The London Trauma Conference: Dates and Highlights
...2014-12-0305 minThe St.Emlyn’s PodcastEp 26 - Intro to EM: The ED approach to the child with shortness of breathManaging Shortness of Breath in Pediatric Patients: A Comprehensive Guide
Welcome to the St. Emlins blog. I’m Iain Beardsell, and I’m joined by our resident pediatric expert, Natalie May. Today, we’re discussing a challenging but crucial topic for those in Emergency Medicine: managing pediatric patients with shortness of breath.
Understanding Pediatric Shortness of Breath
Shortness of breath in children is a frequent and often intimidating presentation in the emergency department, especially during winter. This guide aims to provide a systematic approach to assess and manage these young patients effectively.
Initial Assessment: Stay C...2014-11-2422 minThe St.Emlyn’s PodcastEp 18 - Victoria Brazil on great presentations with St.Emlyn'sMastering the Art of Presentation: Insights from St. Emlyns and Victoria Brasile
Welcome to the St. Emlyns blog! I'm Iain Beardsell, and today, we're diving into a recent enlightening session with the rest of the St. Emlyns team—Simon, Nat, and Rick—alongside the exceptional educator, Victoria Brasile. Victoria recently visited the UK and shared invaluable tips on delivering excellent presentations to the emergency medical community in Manchester. For those familiar with Victoria’s engaging talks at SMACC, either in person or online, you're in for a treat as we explore the key points from this memorable evening.
The Po...2014-09-2309 minThe St.Emlyn’s PodcastEp 17 - Diffuse Axonal Injury with John Hell
Understanding and Managing Diffuse Axonal Injury in Neurointensive Care
Welcome to the St Emlyn’s blog. I’m Iain Beardsell, and today we delve into the complex and crucial topic of diffuse axonal injury (DAI) with insights from John Hell, a consultant in Neurointensive Care at the University Hospital of Southampton and former director of the Wessex Neuroscience’s Intensive Care Unit. With his extensive experience and co-authorship of the Neurointensive Care guidelines, John provides a comprehensive overview of DAI, its pathophysiology, management, and prognosis.
What is Diffuse Axonal Injury?
Diffuse axonal injury is a type of...2014-09-1224 minThe St.Emlyn’s PodcastEp 10 - Intro to EM: Staying safe in your first job
Starting Your Career in Emergency Medicine: Key Insights from St. Emlyn’s
Welcome to the world of emergency medicine! At St. Emlyn’s, we understand the challenges and excitement that come with starting your career in this fast-paced field. Whether you’re a new doctor stepping into the emergency department (ED) for the first time or a medical student gearing up for your rotation, we’ve got you covered. This post delves into the nuances of emergency medicine, sharing valuable insights from seasoned professionals, Iain Beardsell and Simon Carley, to help you navigate your journey effectively.
Understanding the Unique N...2014-07-2114 minThe St.Emlyn’s PodcastEp 9 - Targets in the Emergency Department (2014)Navigating the Challenges and Benefits of Targets in Emergency Medicine: A Deep Dive from St. Emlyn's
Welcome back to the St. Emlyn's blog. Today, we're tackling a topic that's both crucial and controversial in the UK: the multitude of targets faced by emergency departments (EDs). As many of you know, our emergency services have become world leaders in setting and striving to meet various targets. This post explores the impact of these targets, drawing insights from a recent St. Emlyn's podcast discussion between Iain Beardsell and Simon Carley.
Understanding the Four-Hour Access Target
The four-hour...2014-07-1724 minThe St.Emlyn’s PodcastEp 7 - Delving into the Number Needed To Treat, RRR and ARR.Understanding Relative Risk, Absolute Risk, and Number Needed to Treat: A Guide for Emergency Medicine
Welcome back to the St. Emlyn’s podcast. I’m Iain Beardsell and joining me is Simon Carley. Today, we’re delving into the complex yet critical concepts of relative risk, absolute risk, and the number needed to treat (NNT) in the context of emergency medicine. These metrics are essential for understanding the effectiveness of treatments and making informed decisions in clinical practice.
The Importance of Understanding Risk Metrics
In emergency medicine, it’s vital to comprehe...2014-06-2920 minThe St.Emlyn’s PodcastEp 1 - St.Emlyn's The Podcast - An Introduction
Welcome to the St Emlyn's Podcast: A New Chapter in FOAMed
We're thrilled to announce the launch of the St Emlyn's podcast, bringing fresh perspectives and insights from the world of emergency medicine. I'm Iain Beardsell, and alongside Simon Carley, we're excited to extend our reach from the St Emlyn's blog to your favourite podcast platforms.
Why a Podcast?
The landscape of medical education is evolving, and while there's a plethora of excellent podcasts out there, there's a notable gap in UK-centric content. Our aim is to fill that...2014-06-0206 minCoda ChangeBeardsell, Iain — Pain and Suffering in the EDIain takes on a topic that is traditionally uninspiring and delivers an incredible talk that left the crowd in tears.2014-04-2423 min