The St.Emlyn’s Podcast

This conversation dives into patient experiences in emergency departments, tackling issues like autonomy loss and unmet expectations. Practical suggestions for enhancing comfort and communication are explored. The hosts discuss a fascinating study on dirty adrenaline drips, shedding light on remote inotrope management. They also examine the nuances of arterial blood pressure monitoring in pre-hospital scenarios. Lastly, there's a celebration of the resilience and fulfillment found within the emergency medicine community.

Dr. Claire Park dives into the vital lessons learned from civilian and military incidents, highlighting the chaos of the London Bridge and Fishmongers' Hall attacks. She discusses the importance of rapid medical interventions and the concept of survivability in hot zones. Key topics include integrated communication among emergency services and the psychological toll on first responders. Practical strategies like 10-second triage showcase how timely responses can save lives. Ultimately, the human element in trauma care is underscored, emphasizing clinician-patient interactions.

Alice Hutin, an emergency physician from Paris with a focus on refractory cardiac arrest and therapeutic hypothermia, shares her expertise. She discusses the logistics of implementing pre-hospital eCPR with SAMU in Paris, highlighting decision-making processes for patient eligibility and the importance of team communication. Alice also delves into innovative approaches like total liquid ventilation and the challenges of post-resuscitation care. This engaging conversation offers insights into how these advancements can revolutionize emergency medical services.

Hosts share insights from major medical conferences, exploring critical care's 'Goldilocks moments' for life-saving interventions. They discuss innovative training methods like shadowboxing for decision-making under pressure. The conversation highlights a pivotal smoking cessation trial in emergency departments, linking it to broader public health initiatives. Pain management strategies are examined, particularly comparing intranasal and intravenous Ketorolac. They also critique the traditional peer review process in medical research, advocating for more accessible and open practices.

Explore the innovative use of simulation in trauma care and its impact on blood delivery and resuscitation protocols. Discover the idea of 'intelligent failure' and how it helps reduce cognitive overload for medical professionals. Learn about significant improvements, including a 50% decrease in blood delivery times. The discussion highlights the integration of performance data in CPR evaluation and clinical space design, advocating for constructive views on failure and the scalable application of these practices in healthcare.

Kevin Cyr, a commander in the Royal Canadian Mounted Police, shares insights on leadership and resilience in crisis situations. He recounts a heartbreaking hostage incident that resulted in tragedy, emphasizing how failure can foster growth and learning. Kevin discusses the need for visible leadership and emotional support after trauma, highlighting the balance between vulnerability and strength. He also explores the challenges in recruiting for high-stress professions, underscoring the importance of understanding the realities beyond the glamor.

Discover the latest in emergency medicine with insights on the Manchester Acute Coronary Score, which effectively stratifies risk for chest pain patients. Explore how artificial intelligence is enhancing ECG interpretation and learn about innovative techniques like REBOA. Delve into managing eating disorders and diabetes technology, and the promising use of lidocaine patches in elderly care. Finally, understand the critical nature of swift interventions for pediatric emergencies, particularly concerning button battery ingestions.

Dan Horner, a consultant in Emergency Medicine and Neurocritical Care, and Tom Roberts, an Emergency Medicine Registrar and clinical lecturer, discuss their SHED study on diagnosing subarachnoid haemorrhage. They reveal findings about the effectiveness of CT scans in emergencies, especially within 18 hours of headaches. The conversation dives deep into the challenges of diagnosing severe headaches, methodologies used in the research, and the vital role of prompt imaging for better patient outcomes in emergency settings.

Ed Langford, a Specialist Trainee in Emergency Medicine and co-founder of Enhanced Care Services, shares insights on prehospital neuroprotection, particularly in pediatric cases. He recounts a gripping real-life incident involving a 13-year-old with a traumatic brain injury. The discussion covers critical strategies for airway management, advanced interventions, and the importance of teamwork among paramedics and critical care teams. Ed emphasizes the evolving approaches to stabilize patients and prevent neurological damage while showcasing the remarkable recovery achieved.

Dr. Tim Warlow, a consultant in Paediatric Palliative Care, sheds light on the challenging landscape of caring for children with life-limiting conditions. He clarifies that palliative care enhances quality of life rather than withdrawing treatment. The discussion delves into the increasing prevalence of medically complex cases in emergency departments, addressing the impact of informed parents and struggling community services post-COVID. Warlow offers practical strategies for ED staff, emphasizing collaboration and recognition of these delicate situations.