Ep 268 - Top Papers of 2024 from The Big Sick Conference
In this special edition of the St Emlyn’s podcast, Iain Beardsell and Simon Carley review the top medical papers of 2024, originating from Simon’s talk at The Big Sick conference in Zermatt. The discussion includes a comparison of non-invasive versus arterial pressure monitoring, the association of intra-arrest arterial blood pressure with ROSC, the efficacy of serratus anterior plane blocks for rib fracture management, and the evaluation of a micro axial flow pump in cardiogenic shock.
They also delve into double sequential external defibrillation in refractory out-of-hospital cardiac arrest and provide a rapid-fire review of additional critical papers discussed at the conference. Notable mentions include the HEMOTION trial, PRE OXI trial, BLING III, and PARAMEDIC-3, among others.
A must-listen for those passionate about evidence-based medicine in emergency and pre-hospital care.
You can read more about all the trials, including links to all the papers here (part 1) and here (part 2)
00:00 Introduction and Conference Highlights
01:51 Non-Invasive vs. Arterial Pressure Monitoring
03:28 Intra-Arrest Blood Pressure and ROSC
05:34 Serratus Anterior Plane Blocks for Rib Fractures
08:38 Micro Axial Flow Pump in Cardiogenic Shock 10:49 Double Sequential Defibrillation in Cardiac Arrest
13:17 HEMOTION Trial
15:01 PRE OXI and BLING III Trials
17:08 Fluid Management in Septic Shock
18:37 Expedited Transfer vs. On-Scene Resuscitation
20:39 Intraosseous vs. Intravenous Access
21:48 Conclusion and Final Thoughts
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22:45
Ep 267 - Social Media and Artifical Intelligence in Medicine with Peter Brindley at LTC
Join hosts Iain Beardsell and Natalie May at the London Trauma Conference as they welcome Peter Brindley back to the St Emlyn’s podcast. In this engaging episode, they delve into the nuances of social media, digital footprints, and the burgeoning influence of artificial intelligence in medicine. Brindley discusses the importance of maintaining an authentic digital presence and addresses the impact of misinformation and disinformation in the digital age. They explore the challenges and opportunities presented by AI in clinical decision-making and share insights on navigating this evolving landscape as healthcare professionals. Tune in for a thought-provoking conversation on staying relevant and responsible in a digitally-driven world.
00:00 Introduction and Welcome
01:40 Understanding Digital Footprint
03:53 Navigating Information and Misinformation
05:41 The Role of AI in Information Search
08:45 AI in Clinical Decision Making
15:28 The Kardashian Index and Social Media Influence
17:39 Conclusion and Final Thoughts
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18:18
Ep 266 - Monthly Round Up February 2025 - Skills Fade, Resuscitation Targets and more
In this episode of the St Emlyn's podcast, Iain Beardsell and Simon Carley reflect on their experiences at recent conferences, including the IncrEMentuM 2025 and The Big Sick. They discuss the exceptional quality and innovative formats of presentations at IncrEMentuM, emphasizing the enthusiasm and positive atmosphere. The discussion also covers key emergency medicine topics from February's blog posts, including the maintenance of clinical skills, the importance of diastolic blood pressure in resuscitation, and a systematic review on resuscitative hysterotomy. Additionally, they explore new guidance on the diagnosis of death, particularly in intensive care settings. Special thanks to Galen Pharmaceuticals and PM Cardio for their support.
00:00 Introduction and Recent Conferences
00:42 Highlights from IncrEMentuM 2025
04:47 Emergency Medicine Blog Posts Overview
05:10 Maintaining Competency in Rare Procedures
11:23 Diastolic Blood Pressure in Resuscitation
15:37 Resuscitative Hysterotomy Insights
20:43 Understanding Death Criteria
24:48 Conclusion and Acknowledgements
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Ep 265 - Excellence in Debriefing with Richard Lyon at LTC
In this episode of the St Emlyn's Podcast, Iain Beardsell and Natalie May speak with Richard Lyon, an emergency doctor and deputy medical director of the air ambulance service at Kent, Surrey, and Sussex. Recorded at the London Trauma Conference 2024 in Kensington, Richard shares experiences and lessons from his talk on five critical cases that shaped him as a clinician and human being.
Discussion topics include the importance of case debriefing, the impact of video recording in clinical practice, overcoming the challenges of self-reflection, and the evolving culture of pre-hospital emergency medicine. Richard emphasizes the significance of supportive and structured debriefing processes and offers insights on integrating video reviews into emergency practices for improved education and reflection.
00:00 Introduction and Guest Welcome
00:37 Richard Lyon's Background and Talk Overview
01:00 The Importance of Case Learning and Debriefing
02:12 Challenges and Strategies in Case Learning
04:24 The Power of Video Recording in Clinical Practice
07:30 Implementing Video Recording: Practical Steps
08:24 Addressing Concerns and Building Trust
12:56 Senior Clinicians and Vulnerability
17:33 Supporting Pre-Hospital Clinicians
20:35 Conclusion and Final Thoughts
The Guest - Richard Lyon
Professor Lyon is an active UK NHS Consultant in Emergency Medicine and Pre-hospital Care in Edinburgh and Deputy Medical Director for Air Ambulance, Kent Surrey & Sussex. A globally recognised leader in pre-hospital and emergency medical care, Prof Lyon works for multiple world class organisations, helping to develop current and future state-of-the art medical devices, systems and concepts aiming to save lives across the globe. A respected clinical leader and senior medical advisor to both governments and global corporations, with a track record of delivering high quality output and success across clinical, academic, research and innovation. Prof Lyon was made a Member of the Most Excellent Order of the British Empire (MBE) by HM The Queen in the 2017 Honours, for Services to Emergency Healthcare, after he established a programme of work on out-of-hospital cardiac arrest for Scotland. Prof Lyon holds a personal Chair of Pre-hospital Emergency Care at the University of Surrey and has an established research portfolio in pre-hospital resuscitation and trauma care, with an extensive publication record. Prof Lyon is a current member of the Faculty of Pre-hospital Care and author of several international guidelines. Prof Lyon is a Physician with the UK International Search & Rescue Team.
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Ep 264 - High Performance Teams with Dan Dworkis at Tactical Trauma 24
In 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 avoiding negative outcomes, using a rosebush metaphor to illustrate the need for proactive growth. They explore how teams can benchmark and improve performance, the importance of creating a culture of continuous improvement, and strategies to maintain positivity and energy even in challenging conditions. Dan also highlights the Mission Critical Team Institute and its role in supporting teams in life-or-death situations. This episode is essential listening for medical professionals committed to pushing the boundaries of excellence in their practice.
00:00 Introduction and Guest Welcome
01:06 Defining Excellence in Medicine
02:29 Measuring and Achieving Team Performance
06:13 Small Changes for Big Impact
10:03 Maintaining Positivity and Energy
15:30 Mission Critical Team Institute
16:33 Conclusion and Farewell
The Guest - Dan Dworkis
Dan Dworkis, MD, PhD, FACEP is the Chief Medical Officer at the Mission Critical Team Institute, the founder of The Emergency Mind Project, a board-certified emergency medicine physician, and an assistant professor at the Keck School of Medicine at USC.
His work focuses on the optimal development of mission critical teams in and out of emergency departments. He completed the Harvard Affiliated Emergency Medicine Residency at Massachusetts General Hospital / Brigham Health, and also earned an MD and PhD in molecular medicine from Boston University School of Medicine. Dr. Dworkis is the author of The Emergency Mind: Wiring Your Brain for Performance Under Pressure.
A UK based Emergency Medicine podcast for anyone who works in emergency care. The St Emlyn ’s team are all passionate educators and clinicians who strive to bring you the best evidence based education.
Our four pillars of learning are evidence-based medicine, clinical excellence, personal development and the philosophical overview of emergency care. We have a strong academic faculty and reputation for high quality education presented through multimedia platforms and articles.
St Emlyn’s is a name given to a fictionalised emergency care system. This online clinical space is designed to allow clinical care to be discussed without compromising the safety or confidentiality of patients or clinicians.
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