The St.Emlyn’s Podcast
by St Emlyn’s Blog and Podcast
A UK based Emergency Medicine podcast for anyone who works in emergency care. The St Emlyn ’s team are all passionate educators and clinicians who strive to bring you the best evidence based education.Our four pillars of learning are evidence-based medicine, clinical excellence, personal development and the philosophical overview of emergency care. We have a strong academic faculty and reputation for high quality education presented through multimedia platforms and articles.St Emlyn’s is a name given to a fictionalised emergency care system. This online clinical space is designed to allow clinical care to be discussed without compromising the safety or confidentiality of patients or clinicians.
Episodes
-
Ep 300 - Decisions under pressure from Tactical Trauma
Making decisions with incomplete information is part of everyday emergency and trauma care. But when the stakes are particularly high, how do you know when you have enough information to act? Waiting too long may cost lives. Acting too soon may put patients, colleagues or yourself at unnecessary...
-
Ep 299 - Which patients with chest pain need a troponin?
Chest pain that sounds like indigestion, feels mild or seems “atypical” can still be myocardial infarction. The difficult question is not whether troponin is useful, but which patients actually need testing — and how much weight we should give symptoms, cardiovascular risk factors and clinical...
-
Ep 298 - Traumatic Cardiac Arrest: Rethinking Resuscitative Thoracotomy with Laura Kocierz at Trauma 2030
Traumatic cardiac arrest demands rapid treatment, but one of the hardest decisions is whether a resuscitative thoracotomy is likely to help. Can the location of a penetrating injury and the rhythm on the monitor give us better information than an uncertain history of when the patient arrested?...
-
Ep 297 - The 5th Universal Definition of MI - what emergency clinicians need to know
The Fifth Universal Definition of Myocardial Infarction changes some familiar language around MI and puts new emphasis on how we interpret troponin, myocardial injury and imaging. For emergency clinicians, these changes affect both how we describe what is happening and how confidently we can make...
-
Ep 296 - Trauma, Systems Thinking and High-Risk PE (April 2026 Round Up)
Small decisions in the resus room can save minutes; badly designed systems can waste thousands of hours. In the April 2026 St Emlyn’s round-up, Iain Beardsell and Simon Carley move between both ends of that spectrum, from external haemorrhage control and chest drains before CT to ED crowding,...
-
Ep 295 - PE, Whole Blood, HEMS and Smarter CPR (March 2026 Round Up)
In this month’s St Emlyn’s podcast, Iain Beardsell and Simon Carley work through some of the most interesting recent posts and papers from the blog. The conversation ranges from the latest pulmonary embolism guidance to the persistent problem of emergency department crowding, and from…
more -
Ep 294 - Experts Are Made, Not Born: Sara Crager on Mental Models and Rapid Sequence
What separates an expert from someone who simply knows a lot? Sara Crager argues that expertise is less about accumulating facts or hours of experience and more about developing better mental models: structured ways of organising knowledge and approaching difficult problems. Iain Beardsell speaks...
-
Ep 293 - Making Feedback Sticky, TTL Tips and more (February 2026 round up)
In this episode of the St Emlyn’s Podcast, Iain Beardsell and Simon Carley catch up on the February blog posts, recorded in the rather unseasonal context of a UK heatwave. They begin with congratulations to Simon on his reappointment as Dean of the Royal College of Emergency Medicine, before...
-
Ep 292 - Leadership, Culture and Psychological Safety in Pre-Hospital Care with Anna Dobbie at Trauma 2030
In this episode of the St Emlyn’s Podcast, Iain Beardsell speaks with Anna Dobbie, consultant in emergency medicine and pre-hospital care, and Clinical Lead for London HEMS. Recorded at Trauma 2030 at the Royal College of Surgeons in London, the conversation explores what it means to lead...
-
Ep 291 - January 2026 Round-Up: RSI Trial, Trauma Leadership, and the Reality of Corridor Care
In this episode, Iain and Simon catch up on the papers, posts, and conversations that have been sitting with us since the start of the year. Some are familiar. Some are uncomfortable. All of them feel relevant on shift. We start with the RSI trial — ketamine versus etomidate. A study that…
more -
Ep 290 - Shock with Rich Carden at Trauma 2030
Shock is one of the most used words in emergency medicine. It’s also one of the most misunderstood. In this episode, recorded at Trauma 2030 at the Royal College of Surgeons, I sit down with one of St Emlyn's own, Rich Carden — former emergency physician, now intensive care trainee and PhD…
more -
Ep 289 - Refractory VF, Double Sequential Defibrillation, and the Future of Cardiac Arrest
What do we really know about treating refractory ventricular fibrillation? And why are we still waiting to use strategies that might actually work? In this episode, we talk to Sheldon Cheskes about the evolving science of cardiac arrest, with a focus on refractory and recurrent ventricular...
-
Ep 288 - Training Reform, Trauma Leadership, AI on the Shop Floor and more (November/December 2025)
You’re about to hear a conversation that ranges widely — from training reform and trauma leadership to ondansetron, paracetamol protocols, and artificial intelligence. But it isn’t really about any single topic - It’s about where emergency medicine is heading. And whether we are ready for it.…
more -
Ep 287 - Damage Control Pre-hospital Care with Harriet Tucker at Trauma 2030
You’re about to hear a conversation about doing less. But it isn’t really about doing less. It’s about time. Recorded at Trauma 2030 at the Royal College of Surgeons, this episode explores a shift in mindset in pre-hospital trauma care — away from maximal intervention on scene and towards rapid...
-
Ep 286 - Building HEMS in Northern Ireland: Systems, People, and the Legacy of John Hinds with Nigel Ruddell at BASICs 2025
In this episode of the St Emlyn’s Podcast, we’re joined by Nigel Ruddell, Medical Director of the Northern Ireland Ambulance Service, recorded live at the BASICS Conference. This is a conversation about Helicopter Emergency Medical Services (HEMS) — but not in the way you might expect. It’s not...
-
Ep 285 - Resuscitative Hysterotomy with Caroline Leech at BASICs 2025
In this episode of the St Emlyn’s Podcast, Iain Beardsell and Simon Carley talk with Caroline Leech at the BASICs Conference about resuscitative hysterotomy following maternal cardiac arrest. This is a calm, evidence-led discussion of a rare, high-stakes intervention that most clinicians will...
-
Ep 284 - Trauma, Cardiac Arrest, and the Myth of the Silver Bullet (October 2025)
In this (rather delayed!) October round-up, Iain Beardsell and Simon Carley catch up on recent St Emlyn’s blog posts and papers that continue to shape emergency and resuscitation practice. The discussion moves across trauma, analgesia, cardiac arrest physiology, emergency department systems, and...
-
Ep 283 - Best Bits of 2025 — Bonus: Clinical Pearls
This bonus episode is a quick-fire collection of clinical pearls drawn from across the St Emlyn’s podcast in 2025. Short, practical, and deliberately focused, these are the moments that make you stop and think: “That’s useful — I want that in my head.” There’s minimal commentary and no deep…
more -
Ep 282 - Best Bits of 2025 — The Things You’ll Be Glad You Remember
Some of the hardest moments in emergency medicine aren’t hard because they’re complicated. They’re hard because they’re rare — and when they arrive, you’re relying on things you last thought about a long time ago. This final episode in the Best Bits of 2025 series is the “file it away”…
more -
Ep 281 - Best Bits of 2025: Getting Better the Sustainable Way
January often brings pressure to improve — to fix gaps, sharpen skills, and somehow be better than the year before. Done badly, that drive can become another source of burnout. This third episode in the Best Bits of 2025 series focuses on how improvement actually works in emergency and acute care…
more -
Ep 280 - Best Bits of 2025: Staying Human Under Pressure
Winter pressure doesn’t just affect patient flow. It affects people. This second episode in the Best Bits of 2025 series focuses on the human side of emergency medicine: culture, moral injury, compassion, and the small but meaningful behaviours that help clinicians stay grounded when work is...
-
Ep 279 - Best Bits of 2025: Decisions When It’s Busy
Emergency medicine strips decision-making back to its essentials when departments are full and time is short. This first episode in the Best Bits of 2025 series brings together some of the most practically useful moments from the St Emlyn’s podcast this year — focusing on how clinicians make good...
-
Ep 278 - Trauma 2030 Highlights: Damage Control Resuscitation, Resuscitative Thoractomy and more.
Join Iain Beardsell and Hutch as they review key insights from the Trauma 2030 conference hosted by the Institute of Pre-Hospital Care, part of London's Air Ambulance. The discussion highlights the emphasis on speed in damage control resuscitation, the ongoing debate on 'scoop and run' versus…
more -
Ep 277 - Cognitive HALOs and Advanced Simulation Training with Halden Hutchinson-Bazely at BASICs 2025
Recorded at the BASICS Conference 2025, Iain talks with Haldon “Hutch” Hutchinson-Basley about the idea of a “cognitive HALO” — those rare moments where your mental bandwidth hits maximum power. Hutch describes a traumatic cardiac arrest he encountered alone, with no warning and no crewmate to...
-
Ep 276 - Ejection Seats and the Injured Pilot – Aviation Medicine with Phil Lucas at BASICs 2025
In this St Emlyn’s podcast, Ian Beardsell and Simon Carley speak with RAF GP Phil Lucas from the Royal Air Force Centre of Aerospace Medicine at the BASICS conference in Leicestershire. They explore what really happens when a pilot pulls the ejection handle, and what this means for pre-hospital…
more -
Ep 275 - Targeted Resuscitation, Arterial Lines, Hydrofluoric Acid Burns Treatment and more (August/September 2025)
In this episode of the St Emlyn's podcast, hosts Iain Beardsell and Simon Carley review blog posts from August and September. They reflect on their experience at the BASICs Conference, highlighting discussions on resuscitation science and new resuscitation council guidelines. Topics covered…
more -
Ep 274 - What medical conferences offer in 2025 (and how they’ve changed)
Episode summary Why in‑person conferences still matter in a post‑COVID world. What formats work now: short talks, interviews, demos, strong hosting. How to turn “a great day out” into Monday‑morning change. Guests David Carr — EM physician (Toronto). Leads the Annual Update in EM at Whistler....
-
Ep 273 - Surg Cap Ed Barnard on the Abdominal Aortic & Junctional Tourniquet (AAJT) for Exsanguinating, Non-Compressible Haemorrhage at BASICs 2025
Recorded at the BASICS Pre-Hospital Care Conference at Sketchley Grange, this episode explores one of the most experimental tools in civilian trauma care — the abdominal aortic and junctional tourniquet. Dr Ed Barnard joins us to discuss why this device was developed, how it works, and where it...
-
Ep 272 - Toxicology, Hyperthermia and the Future of Emergency Care (June and July 2025)
In this episode of the St Emlyn's Podcast, Iain and Simon discuss the latest updates in emergency medicine during the hot UK summer. They discuss the latest research and content from the St Emlyns blog, touching on topics like serotonin syndrome, the impact of the new urgent and emergency care…
more -
Ep 271 - Behavioural Disturbance, Trauma scores, Compassion, Thoracotomies and more
Iain and Simon return after a brief hiatus to discuss key blog posts from April and May on the St Emlyn's Podcast. They highlight notable conferences including IncrEMentum 2025 in Spain, The Big Sick in Zermatt, and the BASICs Conference. Discussions cover content from recent emergency medicine...
-
Ep 270 - Insights on Cannabis Edibles, Pre-Hospital Thoracotomy, and more
In the March 2025 episode of the St. Emlyn's podcast, Iain Beardsell and Simon Carley discuss a variety of topics covered in their latest blog posts and podcasts. Key discussions include the implications of cannabis edibles in emergency departments, expert viewpoints on pre-hospital resuscitative...
-
Ep 269 - Monthly Round Up Janury 2025 - Prehospital Papers Galore!....
In this episode of the St Emlyn's Podcast, Iain Beardsell and Simon Carley revisit January's blog posts and podcasts, covering several seminal studies relevant to emergency and pre-hospital care. Topics include the Sub 30 Feasibility Study on pre-hospital ECMO, comparisons of pre-hospital versus...
-
Ep 268 - Top Papers of 2024 from The Big Sick Conference
In this special edition of the St Emlyn’s podcast, Iain Beardsell and Simon Carley review the top medical papers of 2024, originating from Simon’s talk at The Big Sick conference in Zermatt. The discussion includes a comparison of non-invasive versus arterial pressure monitoring, the association…
more -
Ep 267 - Social Media and Artifical Intelligence in Medicine with Peter Brindley at LTC
Join hosts Iain Beardsell and Natalie May at the London Trauma Conference as they welcome Peter Brindley back to the St Emlyn’s podcast. In this engaging episode, they delve into the nuances of social media, digital footprints, and the burgeoning influence of artificial intelligence in medicine....
-
Ep 266 - Monthly Round Up February 2025 - Skills Fade, Resuscitation Targets and more
In this episode of the St Emlyn's podcast, Iain Beardsell and Simon Carley reflect on their experiences at recent conferences, including the IncrEMentuM 2025 and The Big Sick. They discuss the exceptional quality and innovative formats of presentations at IncrEMentuM, emphasizing the enthusiasm…
more -
Ep 265 - Excellence in Debriefing with Richard Lyon at LTC
In this episode of the St Emlyn's Podcast, Iain Beardsell and Natalie May speak with Richard Lyon, an emergency doctor and deputy medical director of the air ambulance service at Kent, Surrey, and Sussex. Recorded at the London Trauma Conference 2024 in Kensington, Richard shares experiences and...
-
Ep 264 - High Performance Teams with Dan Dworkis at Tactical Trauma 24
In this episode of the St Emlyn's podcast, hosts Iain Beardsell and Liz Crowe welcome Dan Dworkis, an ER doctor from Los Angeles and host of the Emergency Mind podcast. Dan shares his expertise on optimizing team and individual performance in high-stress medical environments. The discussion…
more -
Ep 263 - Hyperbaric Medicine with Jeff Kerrie at LTC
In this episode of the St. Emlyn's podcast, hosts Iain Beardsell and Natalie May discuss hyperbaric medicine at the London Trauma Conference with Dr. Jeff Kerrie, an internal medicine physician from Canada. Dr. Kerrie provides insights into dive and hyperbaric medicine, covering the basics of...
-
Ep 262 - GoodSam Update with Mark Wilson at LTC 2024
In this episode, Iain Beardsell and Natalie May speak with neurosurgeon Mark Wilson at the London Trauma Conference. Mark provides an in-depth look at the evolution of the GoodSAM app over the past decade. Initially designed to alert off-duty trained individuals to assist in emergencies,...
-
Ep 261 - Moral Injury with Caroline Leech at Tactical Trauma 24
In this episode of the St Emlyn's podcast, hosts Iain Beardsell and Liz Crowe welcome back Caroline Leech, a emergency medicine consultant with extensive pre-hospital care experience. Caroline discusses the concept of moral injury, delving into its distinction from moral distress. She introduces...
-
Ep 260 - Monthly Round Up December 2024 - Chest trauma, IO access, AI and more
In this season-ending episode of the St Emlyn's podcast, Iain Beardsell and Simon Carley come together in Zermatt, Switzerland, to discuss recent studies and updates. They highlight a randomized control trial on early exercise in blunt chest wall trauma, revealing its limited impact on recovery...
-
Ep 259 - Skills Fade with Nathalie Pattyn at Tactical Trauma 24
In this episode of the St Emlyn's podcast, hosts Iain Beardsell and Liz Crowe talk with Nathalie Pattyn at TacTrauma24 in Sweden about the phenomenon of skills fade amongst emergency physicians. Nathalie discusses her extensive background in medicine, psychology, and neuroscience, and shares...
-
Ep 258 - Compassionate Resuscitation with Matt Hooper at LTC
Welcome to our first episode recorded at the London Trauma Conference 2024. In this episode, hosts Iain Beardsell and Natalie May are joined by Matt Hooper from Adelaide to discuss his unique career path, from emergency medicine to pre-hospital and retrieval medicine, intensive care, and more...
-
Ep 257 - Ten Second Triage with Sean Brayford Harris at Tactical Trauma 24
In this episode of the St Emlyn's podcast, hosts Iain Beardsell and Liz Crowe speak with Sean Brayford Harris, a paramedic and interoperability development officer with the London Ambulance Service, about the development of the 10 second triage tool—a new, streamlined method for triaging…
more -
Ep 256 - Monthly Update November 2024 - Learning Culture, Chest Drains, Arterial Lines and more
During Winter's Challenges, Iain Beardsell and Simon Carley reviewed the November 2024 blog posts for St Emlyn's podcast, marking the start of 2025. They discuss the busy state of emergency departments, critical incidents, and the importance of maintaining a learning culture. They highlight the...
-
Ep 255 - Likelihood Ratios: Critical Appraisal Nugget 12
In this episode of the St. Emlyn's podcast, Rick Body and Greg Yates delve into the concept of likelihood ratios, an advanced yet practical tool for diagnosing patients in the emergency department. Building on the previous episode about predictive values, they explain how likelihood ratios help...
-
Ep 254 - Monthly Round Up October 2024 - Toxicology, Cardiac Arrest and more
In this episode of the St Emlyn's podcast, Iain Beardsell and Simon Carley provide a comprehensive update for October 2024. They discuss key blog posts covering diverse medical topics, including highlights from the Royal College of Emergency Medicine's academic science conference focusing on...
-
Ep 253 - Highlights from the London Trauma Conference 2024
In this episode of the St Emlyn's podcast, Iain Beardsell and Natalie May reflect on their experiences at the London Trauma Conference, a four-day event covering various aspects of trauma and pre-hospital care. They discuss key takeaways from sessions on cardiac arrest, including talks on...
-
Ep 252 - ECMO in Trauma with Chris Bishop at Tactical Trauma 24
In this episode of the St Emlyn's podcast, hosts Iain Beardsell and Liz Crowe are joined by Chris Bishop, a clinical research fellow at the Centre for Trauma Sciences at Queen Mary University of London. Chris discusses his PhD research on veno-arterial ECMO support for cardiogenic shock following...
-
Ep 251 - Bad Behaviours in Teams with Liz Crowe at Tactical Trauma 24
This episode, recorded live at Tactical Trauma 24 explores the concept of bad behaviour within high-performing medical teams. Liz Crowe, who will be well known to regular listeners, discusses what constitutes bad behaviour, its impacts on team dynamics and patient safety, and the importance of...
About this show
A UK based Emergency Medicine podcast for anyone who works in emergency care. The St Emlyn ’s team are all passionate educators and clinicians who strive to bring you the best evidence based education.Our four pillars of learning are evidence-based medicine, clinical excellence, personal development and the philosophical overview of emergency care. We have a strong academic faculty and reputation for high quality education presented through multimedia platforms and articles.St Emlyn’s is a name given to a fictionalised emergency care system. This online clinical space is designed to allow clinical care to be discussed without compromising the safety or confidentiality of patients or clinicians.
Hosted by
St Emlyn’s Blog and Podcast