Podcast appearances and mentions of simon carley

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 Emergency Anaesthesia: Pre-Hospital vs. Emergency Department 13:55 Maintenance of Pre-Hospital Anaesthesia: Variations in Practice 16:57 Physician-Led Pre-Hospital Teams: Do They Improve Outcomes? 22:12 Additional Insights and Upcoming Content

In 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 papers discussed at the conference. Notable mentions include the HEMOTION trial, PRE OXI trial, BLING III, and PARAMEDIC-3, among others. A must-listen for those passionate about evidence-based medicine in emergency and pre-hospital care. You can read more about all the trials, including links to all the papers here (part 1) and here (part 2) 00:00 Introduction and Conference Highlights 01:51 Non-Invasive vs. Arterial Pressure Monitoring 03:28 Intra-Arrest Blood Pressure and ROSC 05:34 Serratus Anterior Plane Blocks for Rib Fractures 08:38 Micro Axial Flow Pump in Cardiogenic Shock 10:49 Double Sequential Defibrillation in Cardiac Arrest 13:17 HEMOTION Trial 15:01 PRE OXI and BLING III Trials 17:08 Fluid Management in Septic Shock 18:37 Expedited Transfer vs. On-Scene Resuscitation 20:39 Intraosseous vs. Intravenous Access 21:48 Conclusion and Final Thoughts

In 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 PM Cardio for their support. 00:00 Introduction and Recent Conferences 00:42 Highlights from IncrEMentuM 2025 04:47 Emergency Medicine Blog Posts Overview 05:10 Maintaining Competency in Rare Procedures 11:23 Diastolic Blood Pressure in Resuscitation 15:37 Resuscitative Hysterotomy Insights 20:43 Understanding Death Criteria 24:48 Conclusion and Acknowledgements

St Emlyn's Podcast: Season 11 Finale and Highlights in Emergency Medicine In 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 pediatric trauma and broad considerations on the growing role of AI in healthcare, especially in emergency settings. There are closing remarks on recent blog posts about toxic alcohol poisoning and the Difficult Airway Society meeting, while looking forward to upcoming conferences in Spain and Vienna. 00:00 Welcome to St Emlyn's Podcast 00:31 Exploring the Big Sick Conference in Zermatt 01:25 Evidence-Based Medicine: Early Exercise in Blunt Chest Wall Trauma 04:30 Intraosseous Access: Long-Term Complications 06:37 Imaging Decisions in Pediatric Trauma 09:17 The Promise and Perils of Artificial Intelligence in Healthcare 13:10 Toxic Alcohol Poisoning: A Critical Review 16:17 Conference Highlights and Future Events 19:19 Season 11 Finale and Looking Ahead to Season 12

During 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 tubes for haemothorax, intra-arrest arterial blood pressure monitoring, and the new GLP-1 receptor antagonists for obesity treatment. Lastly, they address the importance of handling bad behavior in the team and maintaining kindness and professionalism, even during high-stress periods. 00:00 Introduction and New Year Greetings 00:35 Current State of Emergency Departments 01:17 Upcoming Conferences: The Big Sick and IncrEMentuM 03:43 Building a Learning Culture in Emergency Medicine 12:24 Pre-Hospital ECPR and ECMO 13:58 Small Bore vs Large Bore Chest Tubes 17:37 Intra-Arrest Arterial Blood Pressure Monitoring 24:01 New Drugs and Toxicology 24:47 Care in the Hot Zone 27:12 Addressing Bad Behaviour in Emergency Departments 30:42 Conclusion and Future Plans for St Emlyn's

In 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 challenges by seeking small wins and engaging in enjoyable aspects of emergency medicine. The episode offers valuable insights and updates for emergency medicine professionals. 00:00 Welcome and Introduction 01:27 Highlights from the Royal College of Emergency Medicine Conference 01:50 Toxicology Insights: High Potency Opioids and Benzodiazepines 05:11 Climate Change and Healthcare: The Green ED Project 08:23 Medical Conferences: A Phoenix from the Ashes 10:38 Ventricular Fibrillation and Pad Position: New Insights 17:22 Tranexamic Acid (TXA) in Trauma Care 24:01 Maintaining Positivity in Challenging Times

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. The episode wraps up with reflections on the positives of emergency medicine and the importance of maintaining enthusiasm and mastery in the field. 00:00 Introduction 01:08 Patient Experience in the Emergency Department 02:33 Improving Patient Experience: Practical Tips 04:05 Qualitative Studies in Healthcare 06:43 Dirty Adrenaline Drip: A Practical Insight 10:44 Emergency Endoscopy for Caustic Ingestions 14:15 Subarachnoid Hemorrhage Diagnosis: The S.H.E.D. Study 18:14 Arterial Blood Pressure Monitoring in Pre-Hospital Settings 24:18 Reflections on Emergency Medicine as a Career 27:41 Conclusion

In 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. Discussions also cover various pain management strategies, such as the use of intranasal vs. intravenous Ketorolac for renal colic. The hosts critique the traditional peer review process in medical research and advocate for open peer review to support equitable and accessible scientific publishing. 00:00 Introduction and Catching Up 02:07 The Goldilocks Moment in Critical Care 05:25 Training and Decision-Making in Emergency Procedures 07:23 Smoking Cessation in Emergency Departments 10:07 Challenges in Implementing Preventive Health Strategies 10:38 Successful Public Health Projects in Emergency Medicine 11:19 Exploring Alternative Interventions in Emergency Departments 11:52 Highlights from the Premier Conference 12:54 Intranasal Ketorolac for Pain Management 15:46 The Future of Peer Review in Medical Research 20:09 Concluding Thoughts and Upcoming Content

We're back with our third episode of the season, and what an episode it is! Leah is joined by Deirdre and Joe to talk through the case, with the one and only Dr Jason Vandervelde making a return as our Adult in the Room. Mohammed is joined by Prof. Simon Carley for our segment, talking about what we've learned from recent experiences in this field. Right, let's get to it!

Simon Carley, Associate Editor of EMJ, talks through the highlights of the December 2021 edition of the Emergency Medicine Journal. Read the highlights: https://emj.bmj.com/content/38/12/867 Details of the papers mentioned in this podcast can be found below: Evaluation of a state law on opioid-prescribing behaviour and the void affecting codeine-containing antitussive syrup - https://emj.bmj.com/content/38/12/889 We Need to Talk About Codeine: an Implementation Study to reduce the number of Emergency Department patients discharged on high-strength co-codamol using the Behaviour Change Wheel - https://emj.bmj.com/content/38/12/895 Feasibility and usefulness of rapid 2-channel-EEG-monitoring (point-of-care EEG) for acute CNS disorders in the paediatric emergency department: an observational study - https://emj.bmj.com/content/38/12/919 Evaluating the utility of Rapid Response EEG in emergency care - https://emj.bmj.com/content/38/12/923 Early warning scores to assess the probability of critical illness in patients with COVID-19 - https://emj.bmj.com/content/38/12/901 Agreement and predictive value of the Rockwood Clinical Frailty Scale at emergency department triage - https://emj.bmj.com/content/38/12/868 Association of advanced age with intubation-related adverse events in the emergency department: a multicentre prospective observational study - https://emj.bmj.com/content/38/12/874 Improving outcomes for older people in the emergency department: a review of reviews - https://emj.bmj.com/content/38/12/882 Identifying opportunities for health promotion and intervention in the ED - https://emj.bmj.com/content/38/12/927

Simon Carley, Associate Editor of EMJ, talks through the highlights of the August 2021 edition of the Emergency Medicine Journal. A systematic mixed studies review of patient experiences in the ED https://emj.bmj.com/content/early/2021/03/03/emermed-2020-210634 To prescribe or not to prescribe for paediatric sore throat: A retrospective cohort study comparing clinician-led antibiotic prescriptions to FeverPAIN and Centor scoring in a tertiary Paediatric Emergency Department and a national review of practice. https://emj.bmj.com/content/early/2021/04/14/emermed-2020-210786 Early Prediction of Serious Infections in Febrile Infants Incorporating Heart Rate Variability in an Emergency Department: A Pilot Study https://emj.bmj.com/content/early/2021/04/16/emermed-2020-210675 Toddler's Fracture Immobilisation (ToFI) Study - A Randomised Controlled Trial Comparing Immobilisation in Above Knee Plaster of Paris to Controlled Ankle Motion Boots in Undisplaced Paediatric Spiral Tibial Fractures https://emj.bmj.com/content/early/2021/06/21/emermed-2020-210299.long Clinical benefits of prone positioning in the treatment of non-intubated patients with acute hypoxic respiratory failure: A rapid systematic review https://emj.bmj.com/content/early/2021/06/22/emermed-2020-210586.long Prognostic accuracy of emergency department triage tools for adults with suspected COVID-19: The PRIEST observational cohort study https://emj.bmj.com/content/early/2021/06/03/emermed-2020-210783 Implementation of the ‘TAKE STOCK' Hot Debrief Tool in the Emergency Department: A Quality Improvement Project. https://emj.bmj.com/content/early/2021/01/13/emermed-2019-208830.info The Cardiac Arrest Nurse Leadership (CANLEAD) Trial: A simulation based Randomised Controlled Trial implementation of a new cardiac arrest role to facilitate cognitive offload for medical team leaders. https://emj.bmj.com/content/early/2021/01/26/emermed-2019-209

Simon Carley, Associate Editor of EMJ, talks through the highlights of the June 2021 edition of the Emergency Medicine Journal. Read the primary survey here: https://emj.bmj.com/content/38/6/407 Emergency medicine electronic health record usability: where to from here? (16 March, 2021) FREE Katie Walker, Tim Dwyer, Heather A Heaton: https://emj.bmj.com/content/38/6/408 Usability of electronic health record systems in UK EDs Editor's Choice (3 March, 2021) Benjamin Michael Bloom, Jason Pott, Stephen Thomas, David Ramon Gaunt, Thomas C Hughes: https://emj.bmj.com/content/38/6/410 Hypochloraemia is associated with 28-day mortality in patients with septic shock: a retrospective analysis of a multicentre prospective registry: https://emj.bmj.com/content/38/6/423 Emergency department attendances during the COVID-19 pandemic: a retrospective analysis of attendances following Irish governmental pandemic measures: https://emj.bmj.com/content/38/6/439 Incidence of emergency calls and out-of-hospital cardiac arrest deaths during the COVID-19 pandemic: findings from a cross-sectional study in a UK ambulance service: https://emj.bmj.com/content/38/6/446 Sex-related differences in opioid administration in the emergency department: a population-based study: https://emj.bmj.com/content/38/6/467

Simon Carley, Associate Editor of EMJ, talks through his highlights of the April 2021 edition of the Emergency Medicine Journal. Read the primary survey here: https://emj.bmj.com/content/38/4/249 Environmentally sustainable emergency medicine: https://emj.bmj.com/content/38/4/315 When dispatcher assistance is not saving lives: assessment of process compliance, barriers and outcomes in out-of-hospital cardiac arrest in a metropolitan city in China: https://emj.bmj.com/content/38/4/252 S100B protein level for the detection of clinically significant intracranial haemorrhage in patients with mild traumatic brain injury: a subanalysis of a prospective cohort study: https://emj.bmj.com/content/38/4/285 Effect of tranexamic acid on intracranial haemorrhage and infarction in patients with traumatic brain injury: a pre-planned substudy in a sample of CRASH-3 trial patients: https://emj.bmj.com/content/38/4/270 Synergistic effects of emergency physician empathy and burnout on patient satisfaction: a prospective observational study: https://emj.bmj.com/content/38/4/290 Handheld electronic device use in patient care: the emergency department patient perspective—a cross-sectional survey: https://emj.bmj.com/content/38/4/258 Read the full Aprilissue here: https://emj.bmj.com/content/38/4

Simon Carley, Natalie May, Ash Leibig and Libby Hanrahan discuss how we can take the ideas, inspirations and thoughts from SMACCFORCE and put them into practice. How do we combat the attitude of "that's not how we do it" to open ourselves up to new ideas and processes? For more head to: codachange.org/podcasts

Simon Carley, Associate Editor of EMJ, talks through his highlights of the February 2021 edition of the Emergency Medicine Journal. Read the primary survey here - https://emj.bmj.com/content/38/2/87 Post-exertion oxygen saturation as a prognostic factor for adverse outcome in patients attending the emergency department with suspected COVID-19: a substudy of the PRIEST observational cohort study https://emj.bmj.com/content/38/2/88 Diagnostic accuracy of point-of-care lung ultrasound in COVID-19 https://emj.bmj.com/content/38/2/94 Rise and fall of the aerosol box; and what we must learn from the adoption of untested equipment https://emj.bmj.com/content/38/2/109 COVID-19 aerosol box as protection from droplet and aerosol contaminations in healthcare workers performing airway intubation: a randomised cross-over simulation study https://emj.bmj.com/content/38/2/111 Evaluation of a novel approach to recognising community-acquired paediatric sepsis at ED triage by combining an electronic screening algorithm with clinician assessment https://emj.bmj.com/content/38/2/132 Nurse practitioner administered point-of-care ultrasound compared with X-ray for children with clinically non-angulated distal forearm fractures in the ED: a diagnostic study https://emj.bmj.com/content/38/2/139 Emergency Medicine Journal COVID-19 monthly top five https://emj.bmj.com/content/38/2/158 Read the full February issue here: https://emj.bmj.com/content/38/2

A vaccine update with Rick Body, Simon Carley, Pam Vallely, Paul Klapper and Charlie Reynard. Bringing RCEM, St Emlyn's and the University of Manchester together for the latest thoughts and wisdom on the vaccines that might get us out of this pandemic.   Moderna vaccine phase 3 trial - https://www.nejm.org/doi/full/10.1056/nejmoa2022483 Oxford vaccine phase 2/3 - https://www.thelancet.com/pdfs/journals/lancet/PIIS0140-6736(20)32466-1.pdf Pfizer vaccine trial - https://www.nejm.org/doi/full/10.1056/NEJMoa2034577   #vaccines #COVID19 #coronavirus

Simon Carley, Associate Editor of EMJ, talks through his highlights of the November 2020 edition of the Emergency Medicine Journal. Read the primary survey here - https://emj.bmj.com/content/37/11/657 Details of the papers mentioned in this podcast can be found below: Risk of significant traumatic brain injury in adults with minor head injury taking direct oral anticoagulants: a cohort study and updated meta-analysis - https://emj.bmj.com/content/37/11/666 Head home: a prospective cohort study of a nurse-led paediatric head injury clinical decision tool at a district general hospital - https://emj.bmj.com/content/37/11/680 Identification of very low-risk acute chest pain patients without troponin testing - https://emj.bmj.com/content/37/11/690 National trends in chest pain visits in US emergency departments (2006–2016 - https://emj.bmj.com/content/37/11/696 Community frailty response service: the ED at your front door - https://emj.bmj.com/content/37/11/714 SONO case series: soft tissue infections, abscesses, pyomyositis and necrotising fasciitis - https://emj.bmj.com/content/37/11/722 Read the full November issue here: https://emj.bmj.com/content/37/11

Simon Carley, Associate Editor of EMJ, talks through his highlights of the October 2020 edition of the Emergency Medicine Journal. Read the primary survey here - https://emj.bmj.com/content/37/10/593 Details of the papers mentioned in this podcast can be found below: Are we preaching to the choir? Where should studies on frequent users of EDs be published? - https://emj.bmj.com/content/37/10/595 Frequent attendances at emergency departments in England - https://emj.bmj.com/content/37/10/597 A data linkage study of suspected seizures in the urgent and emergency care system in the UK - https://emj.bmj.com/content/37/10/605 Perspectives of emergency department attendees on outcomes of resuscitation efforts: origins and impact on cardiopulmonary resuscitation preference - https://emj.bmj.com/content/37/10/611 Integrating and maintaining automated external defibrillators and emergency planning in community sport settings: a qualitative case - study https://emj.bmj.com/content/37/10/617 Insufficient quality of public automated external defibrillator recordings in the greater Paris area, a descriptive study - https://emj.bmj.com/content/37/10/623 Close air support: enhancing emergency care in the COVID-19 pandemic - https://emj.bmj.com/content/37/10/642 Combatting COVID-19: is ultrasound an important piece in the diagnostic puzzle? - https://emj.bmj.com/content/37/10/644 Beirut: a wounded city explodes- https://emj.bmj.com/content/37/10/656 Read the full October issue here - https://emj.bmj.com/content/37/10

Simon Carley, Associate Editor of EMJ, talks through his highlights of the August 2020 edition of the Emergency Medicine Journal. Read the primary survey here - https://emj.bmj.com/content/37/7/395 Details of the papers mentioned in this podcast can be found below: Undertriage of the elderly major trauma patient continues in major trauma centre care: a retrospective cohort review - https://emj.bmj.com/content/37/8/508 I-FiBH trial: intravenous fluids in benign headaches—a randomised, single-blinded clinical trial - https://emj.bmj.com/content/37/8/469 Colles’ type distal radial fractures undergoing manipulation in the ED: a multicentre observational cohort study - https://emj.bmj.com/content/37/8/498 Read the full August issue here - https://emj.bmj.com/content/37/8

Simon Carley, Associate Editor of EMJ, talks through his highlights of the July 2020 edition of the Emergency Medicine Journal. Read the primary survey here - https://emj.bmj.com/content/37/7/395 Details of the papers mentioned in this podcast can be found below: Updated framework on quality and safety in emergency medicine - https://emj.bmj.com/content/37/7/437 Evaluating the sustained effectiveness of a multimodal intervention aimed at influencing PIVC insertion practices in the emergency department - https://emj.bmj.com/content/37/7/444 Endotracheal intubation with barrier protection - https://emj.bmj.com/content/37/7/398 Aerosol containment box to the rescue: extra protection for the front line - https://emj.bmj.com/content/37/7/400 Accuracy of PE rule-out strategies in pregnancy: secondary analysis of the DiPEP study prospective cohort - https://emj.bmj.com/content/37/7/423 Oral nitroglycerin solution for oesophageal food impaction: a prospective single-arm pilot study - https://emj.bmj.com/content/37/7/434 Use of prehospital emergency medical services according to income of residential area - https://emj.bmj.com/content/37/7/429 Using emergency physicians’ abilities to predict patient admission to decrease admission delay time - https://emj.bmj.com/content/37/7/417 Read the full July issue here - https://emj.bmj.com/content/37/7.

Simon Carley, Associate Editor of EMJ, talks through his highlights of the June 2020 edition of the Emergency Medicine Journal. Read the highlights: https://emj.bmj.com/content/37/6/321 Other links: Suffocating in the eye of the storm: attempting to breathe at the epicentre of New York’s COVID-19 pandemic - https://emj.bmj.com/content/37/6/330 Onsite telemedicine strategy for coronavirus (COVID-19) screening to limit exposure in ED - https://emj.bmj.com/content/37/6/335 Implications for COVID-19 triage from the ICNARC report of 2204 COVID-19 cases managed in UK adult intensive care units - https://emj.bmj.com/content/37/6/332 Early versus delayed emergency department presentation following mild Traumatic Brain Injury and the presence of symptom at 1, 4 and 12 weeks in children - https://emj.bmj.com/content/37/6/338 The CRASH3 study: prehospital TXA for every injured patient? - https://emj.bmj.com/content/37/6/392 Retrospective chart review of minor tibial fractures in preschoolers: immobilisation and complications - https://emj.bmj.com/content/37/6/345 Burns and Scalds Assessment Template: standardising clinical assessment of childhood burns in the emergency department - https://emj.bmj.com/content/37/6/351 Moderate to severe hyperphosphataemia as an independent prognostic factor for 28-day mortality in adult patients with sepsis - https://emj.bmj.com/content/37/6/355 Prognostic accuracy of the quick Sequential Organ Failure Assessment (qSOFA)-lactate criteria for mortality in adults with suspected bacterial infection in the emergency department of a hospital with limited resources - https://emj.bmj.com/content/37/6/363 Evolution of methodology and reporting of emergency medicine quantitative research over a 20-year period - https://emj.bmj.com/content/37/6/324 Academic emergency medicine in the UK - https://emj.bmj.com/content/37/6/322 Whole blood transfusion versus component therapy in adult trauma patients with acute major haemorrhage - https://emj.bmj.com/content/37/6/370 Successful endotracheal intubation following a failed first attempt during aeromedical retrieval - https://emj.bmj.com/content/37/5/314.

In the part 2 of the special podcast with Simon Carley we touch on the issues of cognitive bias, that everything you see is COVID-related. Surrounded by the sea of COVID, just how do you manage the strokes, the acute myocardial infarcts, fractured neck aphemas, and the rest of it amidst this catastrophe? Simon shares his thoughts on the life outside COVID.

The legendary professor Simon Carley is joining us all the way from Manchester, UK to talk about positive innovations and evidence based agility. There is a fine balance between being slow to change and missing out on something that might benefit the patients, and jumping in too quickly into something harmful. The panic is understandable, what can we do about this virus, how can we treat it? The pressure to change is so high that the people are losing the plot with the evidence based medicine. 

A bit later than usual, but here we are again! Simon Carley, Associate Editor of EMJ, talks with Professor Richard Body about the highlights of the May 2020 edition of the Emergency Medicine Journal. Read the primary survey here - emj.bmj.com/content/37/5/249 Details of the papers mentioned in this podcast can be found below: SARS: experience from the emergency department, Tan Tock Seng Hospital, Singapore - emj.bmj.com/content/20/6/501 Views and experiences of nurses in providing end-of-life care to patients in an ED context: a qualitative systematic review - emj.bmj.com/content/37/5/265 End of life care in the emergency department - emj.bmj.com/content/37/5/273 That was a game changer: clinical impact of an emergency department-based palliative care communication skills training workshop - emj.bmj.com/content/37/5/262 Inter-rater reliability in a bespoke scoring tool: the Paediatric Observation Priority Score - emj.bmj.com/content/37/5/293 Are referrals to hospital from out-of-hours primary care associated with National Early Warning Scores? - emj.bmj.com/content/37/5/279 Glucose as an additional parameter to National Early Warning Score (NEWS) in prehospital setting enhances identification of patients at risk of death: an observational cohort study - emj.bmj.com/content/37/5/286 Emergency medicine registrar training in Africa: overview of programmes, faculty and sustainability - emj.bmj.com/content/37/5/300 Read the full May issue here - emj.bmj.com/content/37/5

CPD Podcast 6 - Simon Carley talks to Dan Horner

CPD Podcast 5 - Simon Carley talks to Katherine Henderson

CPD Podcast 4 - Simon Carley talks to Sunil Dasan

Simon Carley, Associate Editor of EMJ, talks through his highlights of the April 2020 edition of the Emergency Medicine Journal. Our regular monthly round up of the best and the brightest in the April edition of the EMJ. Read the primary survey here - https://emj.bmj.com/content/37/4/177 Impact of emergency care centralisation on mortality and efficiency: a retrospective service evaluation - https://emj.bmj.com/content/37/4/180 Three into one does go - https://emj.bmj.com/content/37/4/178 Emergency department visits during the 4/20 cannabis celebration - https://emj.bmj.com/content/37/4/187 Routine alcohol screening in the ED: unscreened patients have an increased risk for hazardous alcohol use - https://emj.bmj.com/content/37/4/206 Inadvertent tissue adhesive tarsorrhaphy of the eyelid: a review and exploratory trial of removal methods of Histoacryl - https://emj.bmj.com/content/37/4/212 Performance of the MEDS score in predicting mortality among emergency department patients with a suspected infection: a meta-analysis - https://emj.bmj.com/content/37/4/232. Read the full April issue here: - https://emj.bmj.com/content/37/4

Simon Carley talks to Adrian Boyle

Simon Carley, Associate Editor of EMJ, talks through his highlights of the March 2020 edition of the Emergency Medicine Journal. Read the primary survey here - https://emj.bmj.com/content/37/3/117. Predicting abusive head trauma in children https://emj.bmj.com/content/37/3/118 Validation of the PredAHT-2 prediction tool for abusive head trauma https://emj.bmj.com/content/37/3/119 Association of clinically important traumatic brain injury and Glasgow Coma Scale scores in children with head injury https://emj.bmj.com/content/37/3/127 Biological mechanisms and individual variation in fibrinolysis after major trauma https://emj.bmj.com/content/37/3/135 Prehospital critical care is associated with increased survival in adult trauma patients in Scotland https://emj.bmj.com/content/37/3/141 Cranial burr holes in the emergency department: to drill or not to drill? https://emj.bmj.com/content/37/3/151 Cranial burr holes in the emergency department: to drill or not to drill? https://emj.bmj.com/content/37/3/154 Lessons from a pilot for uncontrolled donation after circulatory death in the ED in the UK https://emj.bmj.com/content/37/3/155 Non-invasive techniques for stimulating urine production in non-toilet trained children: a systematic review https://emj.bmj.com/content/37/3/162 Read the full March issue here - emj.bmj.com/content/37/3

Simon Carley, Associate Editor of EMJ, talks through his highlights of the February 2020 edition of the Emergency Medicine Journal. Read the primary survey here - https://emj.bmj.com/content/37/2/55. Details of the papers mentioned in this podcast can be found below: ‘Stealth trauma’ in the young and the old: the next challenge for major trauma networks? - https://emj.bmj.com/content/37/2/56 Massive transfusion in The Netherlands - https://emj.bmj.com/content/37/2/65 Blunt chest trauma in the elderly: an expert practice review - https://emj.bmj.com/content/37/2/73 How can pain management in the emergency department be improved? Findings from multiple case study analysis of pain management in three UK emergency departments - https://emj.bmj.com/content/37/2/85 Read the full February issue here - emj.bmj.com/content/37/2

Simon Carley, Associate Editor of EMJ, talks through his highlights of the January 2020 edition of the Emergency Medicine Journal. Read the primary survey here - emj.bmj.com/content/37/1 Details of the papers mentioned in this podcast can be found below: Comparison of four decision aids for the early diagnosis of acute coronary syndromes in the emergency department https://emj.bmj.com/content/37/1/8 The incidence of airway haemorrhage in manual versus mechanical cardiopulmonary resuscitation https://emj.bmj.com/content/37/1/14 Epidemiology of adolescent trauma in England: a review of TARN data 2008–2017 - https://emj.bmj.com/content/37/1/25 Blood Glucose Reduction in Patients Treated with Insulin and Dextrose for Hyperkalemia - https://emj.bmj.com/content/37/1/31 No rest for the weary: A cross-sectional study comparing patients sleep in the emergency department to those on the ward https://emj.bmj.com/content/37/1/42 Thromboprophylaxis in Lower Limb Immobilisation after Injury (TiLLI) https://emj.bmj.com/content/37/1/36 Emergency Medicine: let’s feed the good wolf - https://emj.bmj.com/content/37/1/52 Read the full January issue here - https://emj.bmj.com/content/37/1

Simon Carley is a consultant in Emergency Medicine working in adult and paediatric emergency and trauma centres in one of the busiest hospitals in Manchester, England.  He is also the founder of the excellent St Emlyn’s website. You are working in the Emergency Department and the standby phone rings…Professor Carley takes us on a journey...

Simon Carley, Associate Editor of EMJ, talks through his highlights of the October 2019 edition of the Emergency Medicine Journal. Patients don’t have language barriers; the healthcare system does - https://emj.bmj.com/content/36/10/580 Observational study to understand interpreter service use in emergency medicine: why the key may lie outside of the initial provider assessment - Editor's Choice - https://emj.bmj.com/content/36/10/582 Framing of clinical information affects physicians’ diagnostic accuracy - https://emj.bmj.com/content/36/10/589 Impact of the caller’s emotional state and cooperation on out-of-hospital cardiac arrest recognition and dispatcher-assisted cardiopulmonary resuscitation - https://emj.bmj.com/content/36/10/595 Diurnal, weekly and seasonal variations of chest pain in patients transported by emergency medical services - https://emj.bmj.com/content/36/10/601 Pulmonary embolism following complex trauma: UK MTC observational study - https://emj.bmj.com/content/36/10/608 Adapting the Canadian CT head rule age criteria for mild traumatic brain injury - https://emj.bmj.com/content/36/10/617 Read the full October issue here - emj.bmj.com/content/36/10.

Simon Carley, Associate Editor of EMJ, talks through his highlights of the September 2019 edition of the Emergency Medicine Journal. Read the primary survey here - https://emj.bmj.com/content/36/9/517 Details of the papers mentioned in this podcast can be found below: The Panoramic Dental Radiograph for Emergency Physicians - https://emj.bmj.com/content/36/9/565 Exploring the characteristics, acuity and management of adult ED patients at night-time - https://emj.bmj.com/content/36/9/554 Evaluation of the criteria for trauma activation in the paediatric emergency department - https://emj.bmj.com/content/36/9/529 Why are people increasingly attending the emergency department? A study of the French healthcare system - https://emj.bmj.com/content/36/9/548 Location of arrest and effect of prehospital advanced airway management after emergency medical service-witnessed out-of-hospital cardiac arrest: Nationwide observational study - https://emj.bmj.com/content/36/9/541 Phenomenological study exploring ethics in prehospital research from the paramedic’s perspective: experiences from the Paramedic-2 trial in a UK ambulance service - https://emj.bmj.com/content/36/9/535 Process conformance is associated with successful first intubation attempt and lower odds of adverse events in a paediatric emergency setting - https://emj.bmj.com/content/36/9/520 Triaging the triage: reducing waiting time to triage in the emergency department at a tertiary care hospital in New Delhi, India - https://emj.bmj.com/content/36/9/558 Read the full September issue - https://emj.bmj.com/content/36/9

Simon Carley, Associate Editor of EMJ, talks through his highlights of the August 2019 edition of the Emergency Medicine Journal. Read the primary survey here - emj.bmj.com/content/36/8/451 Details of the papers mentioned in this podcast can be found below: First responder communication in CBRN environments: FIRCOM-CBRN study - https://emj.bmj.com/content/36/8/456 Impact of emergency physician experience on decision-making in patients with suspected community-acquired pneumonia and undergoing systematic thoracic CT scan - https://emj.bmj.com/content/36/8/485 Meta-analysis of the accuracy of termination of resuscitation rules for out-of-hospital cardiac arrest - https://emj.bmj.com/content/36/8/479 Potential added value of the new emergency care dataset to ED-based public health surveillance in England: an initial concept analysis - https://emj.bmj.com/content/36/8/459 Paracetamol versus other analgesia in adult patients with minor musculoskeletal injuries: a systematic review - https://emj.bmj.com/content/36/8/493 Recognising bias in studies of diagnostic tests part 2: interpreting and verifying the index test - https://emj.bmj.com/content/36/8/501 Man versus machine: comparison of naked-eye estimation and quantified capillary refill - https://emj.bmj.com/content/36/8/465 Read the full August issue - https://emj.bmj.com/content/36/8

Simon Carley, Associate Editor of EMJ, talks through his highlights of the July 2019 edition of the Emergency Medicine Journal. Read the primary survey here - https://emj.bmj.com/content/36/7/385 Details of the papers mentioned in this podcast can be found below: Epidemiology of traumatic injuries presenting to an ED in Central Haiti: a retrospective cohort study - https://emj.bmj.com/content/36/7/389 Prehospital tranexamic acid shortens the interval to administration by half in Major Trauma Networks: a service evaluation - https://emj.bmj.com/content/36/7/395 Confirmed cardiac output on emergency medical services arrival as confounding by indication: an observational study of prehospital airway management in patients with out-of-hospital cardiac arrest - https://emj.bmj.com/content/36/7/410 Driving stroke quality improvement at scale in EDs across a nationwide network of hospitals: strategies and interventions - https://emj.bmj.com/content/36/7/423 The association of paramedic rapid sequence intubation and survival in out-of-hospital stroke - https://emj.bmj.com/content/36/7/416 Reducing repeat paediatric emergency department attendance for non-urgent care: a systematic review of the effectiveness of interventions - https://emj.bmj.com/content/36/7/435 Read the full July issue here - emj.bmj.com/content/36/7.

Simon Carley, Associate Editor of EMJ, talks through his highlights of the June 2019 edition of the Emergency Medicine Journal. Read the primary survey here - https://emj.bmj.com/content/36/6/324 Details of the papers mentioned in this podcast can be found below: Measurement and improvement of emergency department performance through inspection and rating: an observational study of emergency departments in acute hospitals in England - https://emj.bmj.com/content/early/2019/04/10/emermed-2018-207941 Prehospital determinants of successful resuscitation after traumatic and non-traumatic out-of-hospital cardiac arrest - https://emj.bmj.com/content/early/2019/05/02/emermed-2018-208165 Ageing population has changed the nature of major thoracic injury - https://emj.bmj.com/content/early/2019/04/02/emermed-2018-207943.abstract 'They don't are how much you know until they know how much you care': A qualitative meta-synthesis of patient experience in the Emergency Department - https://emj.bmj.com/content/early/2019/04/19/emermed-2018-208156 Anatomy of resuscitative care unit: expanding the borders of traditional intensive care units - emj.bmj.com/content/early/2019/04/16/emermed-2019-208455.abstract Plight of the pelvic exam - https://emj.bmj.com/content/early/2019/04/16/emermed-2019-208474 Read the full June issue - https://emj.bmj.com/content/36/6

Simon Carley, Associate Editor of EMJ, talks through his highlights of the May 2019 edition of the Emergency Medicine Journal. Read the primary survey here - emj.bmj.com/content/36/5/257 Details of the papers mentioned in this podcast can be found below: Could this be Measles? - https://emj.bmj.com/content/36/5/310 Randomised controlled trial of simulation-based education for mechanical cardiopulmonary resuscitation training - https://emj.bmj.com/content/36/5/266 Preferred learning modalities and practice for critical skills: a global survey of paediatric emergency medicine clinicians - emj.bmj.com/content/36/5/273 Immune checkpoint blockade toxicity among patients with cancer presenting to the emergency department - emj.bmj.com/content/36/5/306 Major incident triage and the evaluation of the Triage Sort as a secondary triage method - https://emj.bmj.com/content/36/5/281 Distributions of the National Early Warning Score (NEWS) across a healthcare system following a large-scale roll-out - https://emj.bmj.com/content/36/5/287 A mixed methods study of the impact of consultant overnight working in an English Emergency Department - https://emj.bmj.com/content/36/5/298 Read the full May issue here - emj.bmj.com/content/36/5.

The latest blog posts, ideas and thoughts from the St Emlyn's podcast. This month with Simon Carley and Rick Body,

Simon Carley, Associate Editor of EMJ, talks through his highlights of the February 2019 edition of the Emergency Medicine Journal. Read the primary survey here - emj.bmj.com/content/36/2/63 Details of the papers mentioned in this podcast can be found below: A simple clinical assessment is superior to systematic triage in prediction of mortality in the emergency department - emj.bmj.com/content/36/2/66 A systematic review examining the impact of redirecting low-acuity patients seeking emergency department care: is the juice worth the squeeze? - emj.bmj.com/content/36/2/97 From ED overcrowding to jail overcrowding: a cautionary tale of a Serial Inebriate Programme (SIP) - emj.bmj.com/content/36/2/92 UK’s initial operational response and specialist operational response to CBRN and HazMat incidents: a primer on decontamination protocols for healthcare professionals - emj.bmj.com/content/36/2/117 Implementation of tranexamic acid for bleeding trauma patients: a longitudinal and cross-sectional study - emj.bmj.com/content/36/2/78 Emergency medical services oxygen equipment: a fomite for transmission of MRSA? - emj.bmj.com/content/36/2/89 Factors influencing variation in investigations after a negative CT brain scan in suspected subarachnoid haemorrhage: a qualitative study- emj.bmj.com/content/36/2/72 Prolonged length of stay in the emergency department and increased risk of hospital mortality in patients with sepsis requiring ICU admission - emj.bmj.com/content/36/2/82 Approach to syncope in the emergency department - emj.bmj.com/content/36/2/108 Read the full February issue here - emj.bmj.com/content/36/2.

Simon Carley, Associate Editor of EMJ, talks through the highlights of the January 2019 edition of the Emergency Medicine Journal, this month, chosen by Editor-in-Chief Ellen Weber. Read the primary survey here: emj.bmj.com/content/36/1/1. Details of the papers mentioned in this podcast can be found below: The view from here: on the other side of the curtain - emj.bmj.com/content/36/1/52 Accuracy of NEXUS II head injury decision rule in children: a prospective PREDICT cohort study - emj.bmj.com/content/36/1/4 Side effects of decision rules, or the law of unintended consequences - emj.bmj.com/content/36/1/2 Analgesia in the emergency department: why is it not administered? - emj.bmj.com/content/36/1/12 Urgent care axis for the older adult: where is best to target interventions? - emj.bmj.com/content/36/1/22 Exploring parents’ reasons for attending the emergency department for children with minor illnesses: a mixed methods systematic review - emj.bmj.com/content/36/1/39 Read the full January issue here: emj.bmj.com/content/36/1

Simon Carley is Professor of Emergency Medicine in Manchester, England. He is an active clinician at Manchester Royal Infirmary and the Royal Manchester Children’s Hospital. He has published over 100 papers in clinical journals with research interests in disaster medicine, diagnostics, evidence base medicine and medical education. He has additional roles as associate editor of the Emergency Medicine Journal. As a co-founder and developer of the BestBets and St.Emlyn’s websites he has integrated web based learning into all levels of EM education. He developed the StEmlyns Blog to share learning across the globe in the true spirit of #FOAM.

  November was a busy month for the St Emlyn's team with a variety of blogs on conferences, EBM, philosophy and education. Here's the podcast and the links to the blogs mentioned in November.   FeminEM part 2 with Natalie May https://www.stemlynsblog.org/fix18-part-two/    FeminEM part 3 with Natalie May https://www.stemlynsblog.org/fix18-part-three/    Dan Horner on the POLAR trial of hypothermia in brain injury https://www.stemlynsblog.org/jc-hypothermia-in-brain-injury-the-polar-trial-st-emlyns/    Zaf Qasim on whole blood in trauma https://www.stemlynsblog.org/whole-blood-in-trauma-st-emlyns/    Nick Smith on Cognitive Load theory https://www.stemlynsblog.org/education-theories-you-should-know-cognitive-load-theory-st-emlyns/    Claire Bromley on her experience on elective in Cape Town https://www.stemlynsblog.org/south-africa-as-a-medical-student-elective-claire-bromley/    Natalie May on why resuscitation is not sexy https://www.stemlynsblog.org/so-unsexy/    Learning in the social age with Simon Carley https://www.stemlynsblog.org/learning-in-the-social-age-st-emlyns-at-emerge10/    Salim Rezaie on Advanced ACLS - beyonfd the guidelines https://www.stemlynsblog.org/beyond-acls-salim-rezaie-at-stemlynslive/   

This podcast was recorded at the Intensive Care Society State of the Art meeting in London 2018. Simon Carley interviews Prof Peter Brindley on the interface of technology, humans and humanity in critical care. The audio was recorded live and at the venue so there is a fair bit of background noise, but we hope that this does not distract from a wide ranging and fascinating podcast.  

Simon Carley, Associate Editor of EMJ, talks through the highlights of the December 2018 edition of the Emergency Medicine Journal, this month, chosen by Associate Editor Mary Dawood. Read the primary survey here: emj.bmj.com/content/35/12/719 Details of the papers mentioned in this podcast can be found below: Evaluation of the provision of helicopter emergency medical services in Europe - emj.bmj.com/content/35/12/720 Heart failure and palliative care in the emergency department - emj.bmj.com/content/35/12/726 Performing sit down medicine in a stand-up place: is it time for palliative care in the emergency department? - emj.bmj.com/content/35/12/730 Predrawn prehospital medications are microbiologically safe for up to 48 hours - emj.bmj.com/content/35/12/743 Systematic review and meta-analysis of pre-hospital diagnostic accuracy studies - emj.bmj.com/content/35/12/757 Read the full December 2018 issue of EMJ here: emj.bmj.com/content/35/12

Five strategies to improve your resuscitations. 1. Zero point survey 2. Peer review 3. 10 in 10 4. Hot debriefs 5. Fly the patient You can read about these strategies, watch the video and learn about the background on the St Emlyn's blog here https://www.stemlynsblog.org/stemlynslive-five-free-strategies-to-improve-your-resuscitation-practice-st-emlyns/ 

Simon Carley, Associate Editor of EMJ, talks through the highlights of the November 2018 edition of the Emergency Medicine Journal, this month chosen by Associate Editor Professor Rick Body. Read the primary survey here: emj.bmj.com/content/35/11/651 Details of the papers mentioned in this podcast can be found below: Managing accidental hypothermia: a UK-wide survey of prehospital and search and rescue providers - emj.bmj.com/content/35/11/652 Managing accidental hypothermia: progress but still some way to go - emj.bmj.com/content/35/11/657 Characteristics and outcomes of accidental hypothermia in Japan: the J-Point registry - emj.bmj.com/content/35/11/659 Indoor accidental hypothermia in the elderly: an emerging lethal entity in the 21st century - emj.bmj.com/content/35/11/667 Paediatric traumatic cardiac arrest: the development of an algorithm to guide recognition, management and decisions to terminate resuscitation - emj.bmj.com/content/35/11/669 Defining significant childhood illness and injury in the Emergency Department: a consensus of UK and Ireland expert opinion - emj.bmj.com/content/35/11/685 Understanding better how emergency doctors work. Analysis of distribution of time and activities of emergency doctors: a systematic review and critical appraisal of time and motion studies - emj.bmj.com/content/35/11/692 Read the full November 2018 issue of EMJ here: emj.bmj.com/content/35/11

Here's our round up of the best of the blog from October 2018. In Pursuit of Excellence with Natalie May from #stemlynsLIVE https://www.stemlynsblog.org/in-pursuit-of-excellence/ A FeminEM in NY with Natalie May Part 1. https://www.stemlynsblog.org/fix18-part-one/ JC: Cricoid Pressure, Do we still need it? Simon Carley https://www.stemlynsblog.org/jc-cricoid-pressure-and-rsi-do-we-still-need-it-st-emlyns/ Teaching and Learning in Stretched Environments with Simon Carley https://www.stemlynsblog.org/teaching-and-learning-in-stretched-environments-rsm-2018-st-emlyns/ Five free strategies to improve your resuscitations Simon Carley https://www.stemlynsblog.org/stemlynslive-five-free-strategies-to-improve-your-resuscitation-practice-st-emlyns/ PTSD and me, EMDR therapy with Rusty Carroll https://www.stemlynsblog.org/ptsd-and-me-part-3-emdr-therapy-st-emlyns/