Ep 99 - October 2017 Round Up

Navigating the Landscape of Emergency Medicine: Insights from St. Emlyn's Welcome to St. Emlyn's, your go-to resource for the latest in emergency medicine. Our recent discussions cover a range of topics, from evolving communication strategies in major incidents to the nuances of managing chronic health issues among healthcare professionals. Let's dive into key insights and updates from our blog and the recent College of Emergency Medicine conference. Modernizing Major Incident Communication Traditionally, emergency departments relied on landlines and telephone trees for major incident alerts. However, modern digital tools like WhatsApp, Facebook, and Twitter offer more efficient solutions. Inspired by incidents like the Manchester bombing, our recent blog post details how to set up a robust communication system using WhatsApp. This involves configuring specific alert tones and ensuring confidentiality, providing a quick and reliable way to mobilize staff during crises. Clots and Immobilization: Current Research and Practices Clot management, especially in the context of immobilization, remains a critical area of study. Dan Horner's work, including the Tilly study, explores whether prophylactic low molecular weight heparins should be used for patients with injuries like Achilles tendon ruptures. Current guidelines suggest a nuanced approach, advocating for patient-specific discussions based on individual risk factors for DVT. This research highlights the importance of personalized treatment and continuous guideline updates. The Role of Ultrasound in Managing Superficial Vein Thrombosis The management of superficial vein thrombosis (SVT) has been another focus. Using ultrasound, as Dan Horner suggests, can help assess the extent of SVTs and determine the need for anticoagulation, particularly when SVTs are near the saphenofemoral junction. This approach ensures comprehensive care and prevents complications from missed DVT diagnoses. Global Perspectives: Insights from South Africa Our collaboration with UK physicians working in South Africa provides a global perspective on emergency medicine. Despite resource limitations, the dedication to delivering quality care remains consistent across continents. This exchange of knowledge reinforces the universal principles of emergency medicine, emphasizing adaptability and resourcefulness. Addressing Chronic Health Conditions in the Workplace A guest post by Harriet, a Manchester-based emergency physician with rheumatoid arthritis, offers insights into managing chronic health issues while working in emergency medicine. Harriet's story highlights the physical demands of the job and the need for supportive workplace practices. It encourages a more inclusive approach, ensuring that all healthcare professionals can perform at their best, regardless of health challenges. Re-Evaluating Oxygen Therapy in Acute Coronary Syndromes Evidence-based medicine is at the heart of St. Emlyn's, and the DETO2X-AMI study has sparked significant discussion. This study suggests that supplemental oxygen may not always benefit patients with acute coronary syndromes, particularly those with normal oxygen saturation levels. This finding prompts a more tailored approach to patient care, aligning treatments with the latest evidence. The Emergence of New Cardiac Biomarkers Cardiac myosin-binding protein C has emerged as a promising new marker for early myocardial infarction diagnosis. However, Rick Body cautions that despite its potential, the transition from research to clinical practice involves numerous hurdles. The practical application of new biomarkers requires rigorous testing and regulatory approval. Revisiting Tetanus Management Chris Gray's exploration of tetanus management emphasizes the need for accurate administration of vaccinations and immunoglobulin. Despite being a well-known disease, misunderstandings about treatment protocols persist. Chris's post clarifies who needs boosters and who