stemlyns

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Acute behavioural disturbance (ABD) is a high-stakes presentation in emergency medicine, often requiring rapid pharmacological sedation. While haloperidol has long been a go-to antipsychotic, recent evidence suggests olanzapine may offer similar efficacy with fewer side effects.

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Podcast - Social Media and Artifical Intelligence in Medicine with Peter Brindley at LTC

Listening time: 21.04 Synopsis In this episode of the St Emlyn’s podcast, hosts Iain Beardsell and Natalie May chat with Peter Brindley at the London Trauma Conference, about the significance of digital footprints, social media, and artificial intelligence (AI) in the medicine. They discuss the importance of managing one’s online presence, the evolution of information dissemination, and the…

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In this episode of the St Emlyn’s Podcast, Iain and Simon reflect on IncrEMentuM 2025, skills fade in rare procedures, arterial line placement, and emerging evidence in cardiac arrest and resuscitative hysterotomy. Essential listening for emergency clinicians.

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RCEM 2025 Day 3 explored mental health, autism, palliative care, high-intensity users, and modern transfusion and diabetes management in the ED.

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Life 2.0 - What the dead can teach us about living - Matt Morgan at TBS 2025

For as long as I can remember, I’ve been scared of dying. Not in that vague, philosophical “we all go someday” way—but properly terrified. Heart racing. Stomach flipping. The sort of fear that sneaks up on you in traffic jams or while brushing your teeth. Which, given I spend most of my working life in an ED surrounded by people very much trying to die, feels… problematic. You’d think constant…

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From pragmatic frailty care to neurodiversity in medicine and creating safer cultures, Day 2 of RCEM 2025 blended sharp clinical insights with systems thinking. Syncope, cardiology, culture, paeds, neurodiversity and more

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Day 1 at RCEM Conference 2025 tackled identity, innovation, wellbeing, and risk in Emergency Medicine. Key insights from Joey Godfrey on St Emlyn’s.

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Podcast - Excellence in Debriefing with Richard Lyon at LTC

Listening time: 21.04 Synopsis Iain Beardsell and Natalie May from St Emlyn’s Podcast are joined by Richard Lyon, an emergency doctor and deputy medical director of an air ambulance service. Recorded at the London Trauma Conference 2024, Richard shares insights from his powerful presentation on the importance of detailed case learning and debriefing both in hospital and pre-hospital settings.…

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Should we be giving ketamine to opioid users in acute pain?

This is the fourth in a series of blog posts on new research in emergency toxicology. The last post was about toxic alcohol ingestion and can be found here. We deal with all sorts of poisons here in Virchester, so be prepared for anything. The majority of patients come to hospital because they are in pain. Giving analgesia is one thing that we can do in the emergency department (ED) to relieve…

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Podcast - High Performing Teams with Dan Dworkis at Tactical Trauma 24

Listening time: 16.55 Synopsis In this episode of thIn 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…

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Halden reviews the publication from London's Air Ambulance of their fascinating data on the survivability from resuscitative thoracotomy. Learn when and who benefits. @stemlyns #FOAMed

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The St Emlyn’s Podcast explores hyperbaric medicine with Dr. Jeff Kerrie. Learn how hyperbaric oxygen therapy (HBOT) treats decompression illness, carbon monoxide poisoning, radiation injuries, and necrotizing infections.

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Cannabis edibles: A cause for concern in the emergency department?

Cannabis edibles are raising concerns in emergency medicine due to potential delayed effects, high THC potency, and inconsistent labeling. A recent study highlights increased ED admissions and resource use among edible users.

This is the fifth in a series of blog posts on new research in emergency toxicology. The last post was about pain relief in opioid dependence, and can be found here. We deal with all sorts of poisons here in Virchester, so be prepared for anything. Cannabis has been legalised in over ten countries, including regions of the United States and Canada. It is likely to be legalised elsewhere in the…

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Podcast - GoodSam App Update with Mark Wilson at LTC

The latest St Emlyn's podcast - an interview with Matt Hooper recorded at the London Trauma Conference about compassionate resuscitation and some of the lessons we can learn in Emergency Medicine from the world of palliative care.

Listening time: 17.03 Synopsis In this episode of the St Emlyn’s podcast, hosts Iain Beardsell and Natalie May are joined by neurosurgeon and Air Ambulance Doctor Mark Wilson at the London Trauma Conference. Mark reflects on the evolution of the GoodSAM app over the past decade, from its initial focus on impact brain apnoea and cardiac arrest responses to its current extensive applications in…

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Death in 2025: New Definitions, Ethical Questions & Medical Guidelines

Death in 2025 – What’s Changing? The AOMRC has updated how we define Death by Neurological Criteria (DNC). What do these changes mean for emergency and critical care medicine? Our latest post breaks it down. Thanks for being part of the St Emlyn's community.

This post was initially drafted by Loz Evans (ICM/ED Resident Doctor) and edited by Dan Horner. “death is not the opposite of life, but a part of it” Haruki Murakami  What is death? If you were to ask most members of the public or indeed any member of the healthcare professional team they would most likely respond along the lines of “death is when a person stops breathing and their heart stops…

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Podcast - Moral Injury with Caroline Leech at Tactical Trauma 24

Listening time: 15.41 Synopsis In this episode of the St Emlyn’s podcast, hosts Iain Beardsell and Liz Crowe welcome back Caroline Leech, a consultant in emergency medicine with extensive experience in pre-hospital care. 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…

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Maternal and Neonatal Outcomes Following Resuscitative Hysterotomy for OHCA. Time and survival #dogmalysis.

A new review maternal and neonatal survival following resuscitative hysterotomy for out-of-hospital cardiac arrest. This systematic review highlights survival rates, intervention timing, and implications for emergency and prehospital care. Better survival for neonates > mother, and much greater time

Background Resuscitative hysterotomy, also known as perimortem caesarean section, is a high-stakes, time-critical intervention performed in pregnant women who experience cardiac arrest. It’s also one of the most daunting HALO procedures that we encounter in EM/PHEM. The aim of this procedure is twofold: to relieve aortocaval compression, thereby improving maternal circulation (and hopefully…