The St.Emlyn’s Podcast

Dive into the world of emergency medicine with a look at nebulised ketamine as a new analgesic option, comparing its effectiveness to traditional IV methods. Explore the risks of emergency intubations and the significance of effective presentation skills in medical training. Discover new insights from the DOSE VF trial on cardiac arrest management and learn about innovative pre-oxygenation techniques that could enhance patient care. Plus, get excited about upcoming conferences in Sweden and Spain, promising invaluable networking and learning opportunities.

Francesca Steadman, a consultant paediatric surgeon at Southampton Children's Hospital, dives into the alarming issue of button battery ingestion in children. She reveals the various types of batteries commonly found in household items, particularly the hazardous CR2032. Steadman discusses the rapid onset of severe injury when a battery lodges in the esophagus, emphasizing the subtle symptoms that can easily go unnoticed. Personal stories highlight the urgent need for awareness and immediate medical action to prevent lasting damage.

Dive into the essential concepts of positive predictive value (PPV) and negative predictive value (NPV) in diagnostic testing. Discover their critical roles in clinical decision-making and how they differ from sensitivity and specificity. The discussion includes a real-life clinical scenario that highlights the importance of contextual interpretation for urgent cases in cardiac care. Learn why understanding these values is key to enhancing patient outcomes and making informed assessments in practice.

In this engaging discussion, Dr. Nicola Trevelyan, Clinical Lead for Paediatric Diabetes in Southampton for over 20 years, shares her expertise on hybrid closed-loop insulin pumps for type 1 diabetes. She explains how these innovative devices differ from traditional pumps and their revolutionary impact on glucose control and quality of life. The conversation highlights essential management strategies during pediatric emergencies, including case studies, potential system malfunctions, and the necessity of tailored insulin therapy in children.

Renowned ECG expert Steve Smith discusses occlusive myocardial infarction vs STEMI, the role of AI in ECG interpretation, and the limitations of ST elevation criteria. Explore the potential impact of AI technology in improving diagnostic accuracy and timely interventions for heart conditions.

Anna Kyle, an expert in treating eating disorders in the emergency department, discusses the critical need for improved medical training and comprehensive care for patients with anorexia nervosa. She highlights the assessment and management of eating disorders in the emergency department, emphasizing the importance of recognizing signs, conducting risk assessments, and involving families in the care process.

Dive into the dynamic world of emergency medicine with highlights from the recent RCEM conference. Explore innovative strategies for managing head injuries and tackling crowding in emergency departments. Discover how to excel as an Emergency Physician In Charge and the exciting role of AI, like ChatGPT, in medical education. Learn about the effectiveness of serratus anterior blocks for rib fractures and the concerning resurgence of measles. This engaging discussion blends clinical insights with practical advice to enhance your practice.

Expert Harshil Dhutia discusses sudden cardiac death in young people, covering causes, diagnosis challenges, genetic testing, decision-making for implantable devices, and specialized care for families.

Topics discussed include the efficacy of bougies for intubations, advancements in cardiac arrest management and trauma care, healthcare disparities based on race, intentional decision-making, and addressing EDI issues in emergency medicine.

The podcast discusses managing chronic liver disease complications, comparing mechanical CPR to human CPR, global health connections, and the impact of elderly patients staying in the ED overnight. They highlight proactive medical interventions, diversity in healthcare, and the implications of prolonged ED stays for patient outcomes.