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.

This is our November and December 2025 round-up, and revisits the blog posts from the end of last year. A pause. A reset. A chance to look again at ideas that still matter on shift.

We explore

• The Medical Education Training Review and what it might mean for emergency medicine in the UK
• Flexibility, bottlenecks, and the portfolio route
• Why culture and team matter more than workload alone
• Trauma Team Leader tips — from missed wounds to managing presence in the room
• Ondansetron in paediatric gastroenteritis — symptom control or over-medicalisation?
• The SNAP protocol for paracetamol overdose in children
• How long it can take for good data to become everyday practice
• AI in the consultation room — and what happens when patients arrive with ChatGPT

What this means for trainers, medical schools, and the future of clinical judgement

This episode closes Season 12 of the St Emlyn’s podcast. Season 13 is coming — including London 2030 content and more from recent conferences.

Upcoming events

Tactical Trauma returns 2–4 November in Sundsvall, Sweden. It remains one of the most focused and practical trauma meetings in Europe — small faculty, serious discussion, no fluff. If you are interested in pre-hospital and in-hospital trauma care, it is worth your time.

IncrEMentuM is approaching fast, with limited places remaining. If you’ve heard us talk about it before, you’ll know why people come back.

Learning from podcasts?

If podcasts form part of your CPD, you can log your listening time across all podcasts on MedPod Learn — not just St Emlyn’s — and generate structured reflection.

The app is free to download, includes a one-month free trial, and offers globally adjusted pricing. If you are already listening, you may as well make it count.

More conversations from recent meetings — including Trauma 2030 — will follow in upcoming episodes.

Thanks for listening