#EuSEM2018 – Day 1

September 10, 2018

For those of you working hard on the shop-floor a quick summary of whats going on in Glasgow @ #Eusem2018   Sepsis 3 interesting talks from dual Emergency Med and Infectious disease specialists, from Denmark and Germany, which highlighted that we are all in the same boat, and again doing… Read more

#EuSEM2018 – Day 2

September 11, 2018

Very Geri’s heavy day today @ #EuSEM2018 but lots to think about, and even squeezed in a bit of USS

Gait is an observation

Timed Up and Go test – get up from chair walk 6m turn and come back, over 10s is a marker of frailty
Also mortality – same predictive value as RR>25 or sBP of 90mmHg

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#EuSEM2018 – Day 3

September 11, 2018

& today has been all about the Heart (New MI definition, Think Aorta, Failure) + some disaster med for my own interest

4th universal Definition of MI
Whats New?
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#EuSEM2018 – Day 4

September 13, 2018

Hej Hej Glasgow it was fun, now back to work.  Day-4 was full of great Canadian thoughts on neurology (Vertigo, SAH, and TIA) all topped off with a sprinkle of Organophosphates

Vertigo – Guide to the big 3
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#EUSEM2020 (virtual conference)

September 28, 2020

My first virtual conference – has been great to dip in and out of all the streams at my leisure. Just a shame they didn’t send some Danish liquorice.

So here is my Summary…..(Kids, Resus, Heads, Others)

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#RCEMasc 2019 – Day 1

October 1, 2019

For those back home its been an interesting 1st day at the conference  – and the top 5 are 1. Learning from Child Death Great session, presented by both clinical staff and parents, around the death of a 3yo with Down’s syndrome, from sepsis. Highlighted some key points that we… Read more

#RCEMasc 2019 – Day 2

October 2, 2019

Paracetamol 12hr SNAP regime: 2014 & 2019 What is it?  Pre-NAC – 4mg Ondansetron IV Bag 1 – 2hr 100mg/kg NAC in 200ml 5% Dex Bag 2 – 10hr 200mg/kg NAC in 1000ml 5% Dex Advantages Saves 9hrs Significant reduction in anaphylactoid reactions 2% vs 11% Significant reduction in gastric symptoms (if… Read more

#RCEMasc 2019 – Day 3

October 3, 2019

AIRWAYS-2 ETT vs SGA (i.e. iGel) in out of hospital cardiac arrest (trauma and kids excluded) Headline Results:  Survival with good neurological out come (MRS 0-3) – No difference around 2.75% (for those that required either SGA or ETT) Easiest – SGA easier achieving ventilation within 2 attempts (87.4% vs… Read more

AKI – teaching

June 12, 2020

Since we need to keep socially distanced, teaching may need to be a bit different. so this is our first effort to provide you with some local teaching resources. Watch the video   Teams Q&A we will send out invites to a teams meeting so we can discuss pointss around… Read more

COVID-19 (Doning/Doffing Video)

March 10, 2020

2 video links to PHE how to Don and Doff your PPE Read more


November 4, 2020

NIPPV 3 machines are used throughout the trust to deliver NIV and CPAP – and should be commenced in ED if transfer to ward/ICU is adding significant delay

NIV/CPAP  is an Aerosol Generating Proceedure (AGP)

Staff must wear full APG PPE
In Side room with a door
Door Marked with APG sign – HERE

CPAP/EPAP levels of 8-15cmH2O

This video demonstrates how to set up CPAP on the NIPPV 3


BTS has released the guidance – HERE  Read more

Dislocated Shoulder (Teaching Video)

December 1, 2018

Great review of shoulder reduction, techniques and sedation.  Learning points: Most techniques will work 80% of the time (Best results tailor the technique to the patient) Kocker’s shouldn’t be used in # greater tuberosity Cunningham technique looks interesting (I’m going to give this a go) Traction is the what causes… Read more

Epistaxis – ACP/MG Teaching

June 17, 2019

Slide set – HERE Main topics Anatomy Cautery Packing – Don’t force it call for ENT help (septal deviation or spurs) Remember – Elderly patients can have devastating posterior bleeds call ENT early Kindly presented by Mr Habib   Read more

Fascia Iliaca Block – ACP teaching

November 1, 2020

Pre-Cousre teaching on Fascia Iliaca Block

Slide show – HERE Read more

Fitting – ACP/MG teaching

March 2, 2019


Seizure type
Treatment of Status (Generalised, Focal, Absence)

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Headache – ACP/MG teaching

March 11, 2019

Slides available – here Main topics of discussion were: Primary vs Secondary headache Red Flags Temporal Artritis Venous Sinus Thrombosis – its variable presentation, and need to highlight in the CT request. Read more

Humeral Brace – Application

October 6, 2019

Inclusion Criteria – All closed neurovascular intact adult humeral shaft fractures

Exclusion Criteria – Intra-articular fractures of either the proximal or distal humerus, and surgical neck of humerus.

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Insitu SIM Instruction

Insitu SIM Instructions

March 1, 2021

Click here to view on another tab Don’t forget to have fun Read more

Junior Doctor Training Open to all Nursing Staff

April 24, 2019

Hello Everybody It has been agreed that all nursing staff (HCAs/RNs) can attend the Junior Doctor Training which happens every Thursday afternoon (1-4). This will be on a voluntary basis and there is no pressure to attend it is for your own learning and professional development (It can be used as evidence… Read more

RCEM CPD 2019 Day 1

April 2, 2019

 HEAD AND NECK Tracheostomy Emergency Care – Dr Brendan McGarth www.Tracheostomy.org.uk Needs to distinguish Tracheostomy from laryngectomy as a laryngectomy has no connection to the upper airway however a tracheostomy may have a connection so gives you 2 options for an airway. Trachostomy problems commonly seen in the ED:- Tube… Read more

RCEM CPD 2019 Day 2

April 3, 2019

NEUROLOGY #RCEMcpd  @RCEMevents Advances in Acute Stroke Intervention  Dr Ian Rennie Acute Stroke Thrombolysis only recannulates approximately 10% of large vessels. MR CLEAN trial reduced disablED survivors following stroke from 53% to 29%. NNT <2 (New England Journal of Medicine 2015) Dawn trial showed treatment up to 24 hours from… Read more

RCEM CPD Conference Day 3

April 4, 2019


Sepsis – Teaching

August 2, 2020

A quick but more in-depth than just red-flags and buffalo, sepsis teaching. Covering the pathophysiology and treatment of sepsis we will follow it up with a teams teaching on: Wednesday August 5th 2020   Read more

Issue 1

SIMNews – Issue 1- Massive PE

March 1, 2021

Click here to download the poster Click here to view on another tab Running insitu SIM at CHT means we to learn and share our learning @cazandal, @chftedsim EMbeds guide on how to manage PE’s here   Read more


SIMNews – Issue 3- Anaphylaxis

March 1, 2021

Click here to download the poster Click here to view on another tab Running insitu SIM at CHT means we to learn and share our learning @cazandal, @chftedsim Read more

SIMNEWS- Issue 2

SIMNews- Issue 2- Acute Pulmonary Oedema

March 1, 2021

Click here to view on another tab Running insitu SIM at CHT means we to learn and share our learning @cazandal, @chftedsim EMbeds pulmonary oedema guidelines   Read more

Teaching – Palliative Care

March 19, 2021

As we know everybody dies, but recognition and palliation of the dying patient can be difficult. One of our palliative care consultants Mary Keily has produced a video on “End of life care medicines”. We also have the Palliative care bundles in our quick orders on EPR, to make prescribing… Read more

Thomas Spint – how to apply

February 3, 2019

Invented by a Welshman ‘Hugh Owen Thomas’, the introduction of this simple device in World War 1 went on to reduce the mortality of #femurs from 80% to 16%. The Kit Measuring Tape Thomas splint – Adult or Paediatric (depending on size) Hoop – Sizing guide can be found here… Read more

Trauma Care Conference

March 5, 2019

#TraumaCare19 @TraumaCareUK Mix of PHEM and Major incident sessions today Mental Resilience – Professor Richard Williams Resilience – a process linking a set of adaptive capabilities to a positive trajectory of functioning and adaption after a disturbance. Compared to the reference population ED and Pre-hospital staff have higher levels of… Read more

Trauma in the ED…Day 2 of Trauma Care 2019

March 6, 2019

Should ED manage the Trauma airway? For: Dr Simon Laing @simon_laing Against : Dr Felicity Clark @felicityjeclark A debate with an ED consultant for and an Anaethestist against. The eventual conclusion was that it doesn’tmatter who manages the airway as long as they are trained, competant and current with good… Read more