EM, Major Trauma & HEMS Consultant, Dean @RCollEM. Associate Dean. #FOAMed @StEmlyns @PHCCC @NWAirAmbulance PGY32: Prof at #MAHSC @officialUoM & @ManMetUni
Manchester
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Simon Carley retweeted
Standing room only. @HumanFact0rz talking Halos @EusemY @EuSEM_Conf @petrosoniak @UnityHealthTO @EMUofT
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Simon Carley retweeted
“Why do ER doctors have to watch money more than hematologists”? This sums is up
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In major trauma resuscitation we all think perfusion, bleeding, coagulation and temperature. BUT heart function may be pivotal.
Webinar with Prof Karim Brohi on the cutting edge thinking about myocardial resuscitation on Thursday evening @TraumaCareUK
zoom.us/webinar/register/WN_…
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Is YOUR trauma management causing refractory shock?😮
Are you unknowingly damaging your patient’s heart? 😮
Join us on Thursday evening and hear Prof Karim Brohi talk about why you just might be! (and what to do about it).
zoom.us/webinar/register/WN_…
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Really important topic for Emergency Medicine from @CMO_England
Patients want certainty, but we give them probability.
Differential diagnosis should have probability attached, and we need to be better at communicating residual risk to patients.
"If holding too much risk is dangerous, holding too little means that doctors aren’t working to the level of their professional ability."
In this Editor's Choice, @KamranAbbasi asks: can the profession fix risk holding?
bmj.com/content/394/bmj-2026…
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EuSEM 2026. Large trial of chest pain 1hr v 3 hr pathway. No difference in ED stay - implying that timing of troponin result is not the rate limiting step in ED discharge.
Maybe future research needs to move the focus from a diagnostic to a system level intervention.
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EuSEM 2026 conference - novel nerve agents.
Novichok poisoning - difficult diagnosis, but think if “wet opiate syndrome” ie patient looks like opiate overdose (coma, pinpoint pupils), but has “wet features” such as hypersalivation, sweating, diarrhoea or vomiting.
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At EuSEM 2026 contemplating that conferences need better filters on bad oral abstracts:
1) removed all failed procedures from the analysis to claim superiority of a method of shoulder reduction.
2) removed all cases with missing data to claim an association.
Basic errors.
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Pelvic fracture management demands timely decisions from senior clinicians. This #TTLtips helps us understand priorities for IR, surgery and fixation while maintaining progress towards bleeding control.
@stemlyns #FOAMed
stemlynsblog.org/ttl-tips-20…
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Ep 288: Training Reform, Trauma Leadership, AI on the Shop Floor and more @stemlyns from Dedemcber 2025
stemlynsblog.org/ep-288-trai…
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If you see one spinal injury should you always look for another? @stemlyns #FOAMed #TTLtips
stemlynsblog.org/ttl-tips-19…
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Should patients with unexplained syncope leave the ED with prolonged ECG monitoring? The ASPIRED trial found no reduction in recurrent syncope, but increased detection of clinically significant arrhythmias. #FOAMed @stemlyns
stemlynsblog.org/aspired-amb…
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The journey to building @AirAmbulanceNI
From early 2000s fundraising & the influence & legacy of Dr John Hinds, to the eventual charity and partnership between charity @ @NIAS999 to make a doctor–paramedic HEMS model.
@ATACCFaculty @DocJohnsMum
stemlynsblog.org/ep-286-buil…
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Should you manually press on the pads when defibrillating??
Now we (probably) know the answer
stemlynsblog.org/jc-manual-p…
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Simon Carley retweeted
A study of more than 236,000 patients found no consistent evidence that NHS virtual wards reduce hospital admissions, length of stay or readmission rates.
eu1.hubs.ly/H0xLfF60
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