stemlyns

[stemlyns]

Love this review of the Global health and emergency care research summit in the UK. It brought together expert speakers, panelists and workshop facilitators. If you want to do global health as a speciality or as a researcher in the UK, this is a must read.

[stemlyns]

How we transformed emergency medicine by 2038: AI, virtual EDs, and culture change. A powerful retrospective for healthcare leaders.

[stemlyns]

A JC review of intra-arrest stellate ganglion block for refractory cardiac arrest. Could this novel technique improve ROSC rates? Critical appraisal of scoping review. @stemlyns #FOAMed

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JC: When helping hurts - moral injury and the erosion of trust for UK emergency responders

Working in emergency medicine can be tough. We all know that. But beyond the obvious stresses of shift work, difficult decisions, and witnessing human suffering, there’s something else that can fundamentally change us as healthcare professionals. It’s called moral injury, and it might be more common than we think. When I spotted this paper in the European Journal of Psychotraumatology, it…

[stemlyns]

Evaluating the PECARN Abdominal Trauma Rule in the grey zone....

Background One of my many jobs, and one that i really enjoy is woking in a large tertiary Paeds ED here in Virchester. We are one of the busiest in the country and have a huge catchment area for trauma. Thankfully major trauma in kids is not that common, but when it all gets concentrated in one spot, we see a fair number and I like to think I make reasonable decisions about imaging. One group…

[stemlyns]

Our review of a small Feasibility study on arterial line placement during ED cardiac arrest shows high success and improved ROSC. Is it time to rethink resuscitation monitoring?

[stemlyns]

Emergency toxicology insights on nitazenes.

[stemlyns]

JC: Illicit Drug Induced Hyperthermia: A Time-Critical Toxicological Emergency

Drug induced hyperthermia is something we touched on in the early days of St Emlyn’s following some gtruly tragic cases comring through Virchester. Sadly it’s not confined to us here and Emergency departments (EDs) across the UK and beyond are becoming increasingly familiar with this condition often associated with mass gatherings and music festivals. While much attention has been paid to harm…

[stemlyns]

Can salbutamol relieve pain in renal colic? We review a phase II randomised controlled trial exploring intravenous salbutamol as an adjunct analgesic in the emergency department.

[stemlyns]

The Urgent & Emergency Care Plan 2025/26: Evolution, Promise & Challenges

The NHS England Urgent and Emergency Care (UEC) plan for 2025/26, published on 6 June 2025, marks what officials describe as “a turning point for the NHS” and “the most transformative agenda we have seen in over 2 generations.” But how does this latest iteration differ from previous efforts, what are its strengths and weaknesses, and what core strategies could actually deliver meaningful…

[stemlyns]

Emergency toxicology insights on differentiating serotonin syndrome from NMS and stimulant toxicity. A commentary on the latest EMCRIT podcast, including diagnostic challenges and clinical examination reliability.

[stemlyns]

Review the top trauma and resuscitation trials discussed at ICEM 2025. Expert summaries and critical appraisals from St Emlyn’s cover transfusion strategies, airway management, oxygenation, fibrinogen, and more.

[stemlyns]

Emergency Centre Thoracotomy in South Africa.

Background I was so pleased to see this paper from a team including a great friend of the podcast, Dr Katya Evans at Mitchell’s Plain hospital in Cape Town. I’ve been lucky enough to visit Kat and her husband Craig several times and it’s truly inspirational what they do in emergency and prehospital care. You can read more about that here. I remember being amazed at just how much penetrating…

[stemlyns]

Is there still room for compassion in emergency care?

At the recent Royal College of Emergency Medicine Annual Scientific Conference, I explored a more pressing question: Is there still room for compassion in emergency care? With the pace and pressures of emergency departments (EDs) today, it’s easy to lose sight of compassion, even though it’s at the heart of patient care. This blog post summarises that talk, digging into the reality of compassion…

[stemlyns]

Emergency Centre Thoracotomy in South Africa: Real-World Insights from District-Level Hospitals

Background I was delighted to see this paper published from a great friend of the podcast and blog, Dr Katya Evans. She’s a truly insprational human and emergency physician practicing in Cape Town, South Africa. A few years ago I was lucky enough to visit Kat and her husband Craig at Mitchell’s Plain hospital. I was so impressed at the kleel of care they delivered for the trauma patients…

[stemlyns]

Emergency departments (EDs) often seem to shift from calm to crisis in an instant. Why? This article explores ED crowding through the lens of complexity science and self-organised criticality, explaining how minor changes—like a few extra patients—can trigger disproportionate chaos.

[stemlyns]

Derivation and Validation of the Simplified Bleeding Audit Triage Trauma (sBATT) Score

Motor vehicle collisions (MVCs) are a major global health burden, especially in low and middle-income countries (LMICs), where formal emergency medical services are often absent. In these settings, laypeople—taxi drivers, police officers, or firefighters—may be first on scene. Without access to monitoring equipment or clinical training, these bystanders face the difficult task of determining…