A virtual hospital in the heart of post industrial Virchester. Emergency medicine cases, BestBets and evidence based practice. #FOAMed
Joined February 2009
- Tweets 11,206
- Following 1,111
- Followers 17,258
- Likes 3,170
1,236 Photos and videos
Saint Emlyn's retweeted
Jun 12
What a wonderful John Hinds lecture from Professor Cook. Congratulations to all of you at #CCR26.Thanks for remembering John xx
1
1
5
541
Best take-away from @davidcarr333 at @Icem2026 on how to have a long career in Emergency Medicine:
“Do not feel responsible for the things that you cannot control”.
3
6
699
Saint Emlyn's retweeted
Jun 12
SODa-BIC just dropped in NEJM. The large, rigorous RCT examining the use of sodium bicarbonate ICU patients with shock and acidosis.
nejm.org/doi/full/10.1056/NE…
9
26
94
11,646
Q- What do you get if you mix 300 emergency physicians with a thunderstorm?
A - laughter, camaraderie and new friendships forged sheltering in random doorways (and some rather soggy humans).
Making the best in adversity is normal in EM. @Icem2026 @RCEMPolicyVP
1
1
6
801
Saint Emlyn's retweeted
Jun 11
Pre-hospital acute behavioural disturbance, a guest post by Jack Lyon. What does the evidence say about Ketamine and other sedatives.
#FOAMedhttps://www.stemlynsblog.org/pre-hospital-abd/
4
8
3,678
Saint Emlyn's retweeted
Jun 11
What makes an excellent emergency physician? Is it knowledge, technical skill or diagnostic brilliance? Is it all about resus? (no it isn't) What does the evidence say? #FOAMed
stemlynsblog.org/what-does-a…
5
15
894
Very grateful to have been given the opportunity to write for @stemlyns for the first time on a topic I see frequently when covering festivals!
stemlynsblog.org/pre-hospita…
Jun 11
Pre-hospital acute behavioural disturbance, a guest post by Jack Lyon. What does the evidence say about Ketamine and other sedatives.
#FOAMedhttps://www.stemlynsblog.org/pre-hospital-abd/
3
6
2,515
Saint Emlyn's retweeted
Jun 10
A wonderful conference. Brilliant and dedicated people. I am honored to have been a part of it
Jun 8
Dr. Mike Abernethy — emergency physician and HEMS veteran — on traumatic finger amputations — from mechanism and initial management to replantation candidacy, surgical outcomes, and the long road of rehabilitation.
Watch the full talk on YouTube: youtu.be/clJQs2uFpC0
3
13
1,363
Saint Emlyn's retweeted
May 26
Whistler tickets will be released June 1st. In six days! We have expanded our room block but secure early. Hope to see you there. @EmICUcanada @petrosoniak @CVarnerEmerg @HumanFact0rz @stemlyns @arunsayal1 @EMUofT @CAEP_Docs @EM_Update @IncrEMentuMconf cpd.utoronto.ca/whistler/fee…
6
10
1,515
Saint Emlyn's retweeted
Marching Backwards into the Future.
My first blog post in a long time.
Challenging the mandatory training system reflex in healthcare @stemlyns
stemlynsblog.org/marching-ba…
#complexity #psychologicalsafety #cognitiveload
1
309
Saint Emlyn's retweeted
May 6
Una vez más Incrementum no defraudó! Gran trabajo de todo el equipo . Ebhorabuena!!
1
4
441
Saint Emlyn's retweeted
This was IncrEMentuM 2026.
A gift from all the speakers and the audience to all of us.
Thanks to @docib and @stemlyns for expressing it this way:
“It’s not just what we do, but also who we are.”
#EmergencyMedicine
stemlynsblog.org/incrementum…
2
8
15
1,480
Saint Emlyn's retweeted
May 11
🚨 Job advert live 🚨
@airambulancekss and @UHSussex HEMS registrar posts are open now on NHS jobs.
uhsussex.nhs.uk/careers/curr…
9
10
1,932
Saint Emlyn's retweeted
Day 3 of the RCEM ASC in Birmingham @rcollem
stemlynsblog.org/rcem-annual…
1
2
802
Definition of trauma cardiac arrest. Zane Perkins @RCEMevents Conference 2026.
Define by lack of coronary perfusion. So you can tell time since arrest by changes in cardiac rhythm.
At 1 minute heart slows.
At 5 minutes bradycardia established.
At 10 minutes PEA.
10
24
2,330
Wes Streeting at @RCEMevents Conference 2026.
Showing a great understanding of the system nature of NHS recovery, and the need for system change.
But also a good illustration that even the most senior politicians don’t have a magic wand!
2
2
4
2,499
A great Maurice Ellis lecture from Ali Saunders. @RCEMevents Conference.
New concept for me was ‘flash teams’ - which we often have in EM. Groups of individuals who are not trained as team, but who have to come together and operate as a high functioning team.
3
15
1,378
Paeds MAGPIE trial of Penthrox.
Requirement for full written consent was main barrier.
Statistically significant (but relatively small) pain score effect compared to placebo, with much less use of rescue analgesia.
Global pain rating showed much more change than formal pain score
1
2
16
1,886