A virtual hospital in the heart of post industrial Virchester. Emergency medicine cases, BestBets and evidence based practice. #FOAMed

Joined February 2009
Saint Emlyn's retweeted
Thanks Michael for the opportunity to share ASPIRED with clinicaltrialresults.org
Dr. Matt Reed and Dr. C. Michael Gibson discuss the ASPIRED trial: Immediate 14-day ambulatory ECG patch monitoring applied during initial ED visits for unexplained syncope did not reduce syncope episodes but doubled diagnostic yield for arrhythmia, lowered time-to-detection, and improved survival at 1 year. Watch video here: clinicaltrialresults.org/wp-…
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Excellent, considered and thoughtful review
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Amazing, although I find it super strange though that the STEMI criteria achieved a 98% specificity in this study...
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Ep 285 – Resuscitative Hysterotomy with Caroline Leech at BASICs 2025 In this episode Iain Beardsell and Simon Carley talk with Caroline Leech at the BASICs Conference about resuscitative hysterotomy following maternal cardiac arrest.... stemlynsblog.org/ep-285-resu…
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The Lancet just released the REMAP-CAP manuscript pre-peer review. Oseltamivir (5 or 10 days) vs no antiviral in critically ill influenza. 🧵 papers.ssrn.com/sol3/papers.…
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Imagine, for a moment, that targeted temperature management (TTM), the standard of care in post cardiac arrest management for more than two decades, was built on a false premise from the very beginning. A Slow Retreat emcrit.org/emnerd/a-slow-ret…
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SGEM Bottom Line: Whole blood was feasible and reasonably safe in a UK air-ambulance system, but this trial did not show superiority over standard component therapy. @docib @stemlyns thesgem.com/2026/08/sgem516-…
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🚑 Boost Your Pre‑Hospital Care Skills in 2026 We’re excited to offer a wide range of pre‑hospital care training courses designed for clinicians, volunteers, and emergency responders. Delivered by the British Association for Immediate Care, our courses provide hands‑on learning, recognised standards, and real‑world scenario training. 💡 Courses now open: 🩺 PHEC — 3 days of adult pre‑hospital care, endorsed by @RCSEd + aligns with Green Guide (SGSA) for UK sports stadia cover. 👶 Paediatric PHEC — 1 day of focused paediatric pre‑hospital care. 💉 PHEA Assist — 1‑day training for the pre‑hospital emergency anaesthesia assist role. 🚑 Immediate Care Course (ICC) — immersive 5‑day adult + paediatric pre‑hospital care, incl. PHEA Assist. 🚨 Emergency Care Course — for non‑registered professionals delivering frontline emergency care. 🩺 Refresher PHEC — 2‑day update for those who completed PHEC >3 years ago. If you're looking to advance your emergency care skills, our evidence‑based training is delivered by highly experienced multi‑disciplinary instructors. ❗ Bespoke on‑site courses available on request ❗ 👉 Learn more + book: basics.org.uk/ourcourses/ #PreHospitalCare #EmergencyMedicine #CPD #HealthcareTraining #BASICS_HQ #EventMedicine #CriticalCare #Paramedic #Anaesthesia #PHEC #ImmediateCare #CFR #EMT #Doctor #Paediatrics #GreenGuide #SGSA
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Today’s Skeptical Session at @IncrEMentuMconf will be on self-forgiveness with @stemlyns @EMManchester
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Young patient with lower urinary tract symptoms and negative dip ….. ask about ketamine. Cystitis is real. Great pearl @stemlyns @RCEMLearning @RCEMpresident @DrGroll @DrToddLee @BogochIsaac @TorontoIDDoc
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It is such a Sumon pearl. Seen a few cases. Destroys the bladder.
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Cannot remember, but once the TXA 2g im auto-injector gets through the regulatory labyrinth I bet that is what will be used.
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Survival effect of prehospital emergency anaesthesia in major trauma @stemlyns review of a new trauma study examining whether prehospital emergency anaesthesia and intubation improve survival using machine learning and causal inference methods. stemlynsblog.org/survival-ef…
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Thank you Josephine. It is our pleasure to remember John and honour his memory with this annual lecture.
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