Articles

Acute Coronary Syndrome; an Evolution to our Approach (OMI/NOMI)

by Julian
February 13, 2022February 13, 2022

Our current paradigm (STEMI/NSTEMI) is failing us and our patients. This is a broad overview and discussion on why the current STEMI/NSTEMI paradigm is no longer fit for purpose. Although ST elevation is a vitally important ECG change to recognise,… Read More »

Narrow Complex Tachycardias

by Julian
February 13, 2022February 13, 2022

What do you do when you get handed an ECG with a rapid, narrow complex morphology? How do you interpret the aetiology, and how to manage it? We cover electrophysiology, recognition, and management of the main narrow complex tachycardias that… Read More »

The Acute and Painful Abdomen

by Julian
February 13, 2022February 13, 2022

This is a two-part video series outlining a framework and approach to dealing with the acute and painful abdomen in an atraumatic context. Part I covers some anatomy and physiology that explains why abdominal pain can be so hard to… Read More »

An Approach To Facial Injuries (Part I & II)

by Julian
February 13, 2022February 13, 2022

These videos cover a sensible approach to dealing with patients who present with facial injury. This is a two-part series, covering first an essential grounding in normal facial anatomy and x-ray images, followed by part II, which covers patterns of… Read More »

Building our DIY Garden Gym

by Julian
July 25, 2021July 25, 2021

We built a home garden gym; Spoiler before and after immediately below: Rationale for the Garden Gym After all the lockdown-drama surrounding the closing of gyms and stocks sky-rocketing in the fitness band sector, having reliable access to decent training… Read More »

FRCEM Primary: a survivor’s story

by Julian
February 6, 2021April 4, 2021

Last December, I’m pleased to say I sat and passed the first membership exam for Emergency Medicine in the UK; the FRCEM Primary. Whilst I was preparing for this exam, I searched pretty much the whole internet for advice (notable… Read More »

2020 Review and Looking Ahead

by Julian
December 29, 2020December 30, 2020

What a year it’s been for all of us. This post is not an attempt to regurgitate some positive spin around the ongoing pandemic. It’s been an undeniably difficult time for most, and life-altering for many. It’s also been a… Read More »

Thoughts on the Value of Craftsmanship

by Julian
February 18, 2020February 18, 2020

I’m currently at a career junction. Thinking about which medical speciality to select has made me reflect on the process of ‘doing something very similar for a long period of time’. This article argues for the value in practicing something… Read More »

Training & Shift Work

by Julian
January 26, 2020February 1, 2020

This article explores shift work, its impact upon life and training, and my own three-week experience as a case-study for how I have tried to manage things. Around 1 in 5 of us, across all sectors, are involved in shift-work.… Read More »

2020

by Julian
January 12, 2020February 1, 2020

I just finished Atul Gawande’s ‘Better’, and some words from the final few pages prompted me to open the laptop: Write something. I do not mean this to be an intimidating suggestion. It makes no difference whether you write five… Read More »