ACCS-EM · Emergency Medicine

Surviving to Thriving

ACCS-EM · Emergency Medicine

The STT Blog

Real talk.
EM trainees.

Clinical insights, career strategy, wellbeing, and honest perspectives on life in emergency medicine — written by Dr. Alex for the people who live it.

ECG & Clinical June 2025

The One ECG Pattern That Will End Your ACCS Interview If You Miss It

There's a rhythm that appears in roughly one in three ACCS-EM interviews. It looks subtle. It kills real patients. And most candidates walk out of the room having called it sinus tachycardia. Here's how to never make that mistake.

12 min read →

Interview May 2025

How I Answered "Why Emergency Medicine?" Without Sounding Cliché

Every ACCS panel hears "I love the variety and the adrenaline" fifty times a day. Here's a framework for standing out — authentically.

Career May 2025

Your ACCS Portfolio Is Probably Missing These 3 Things

The application form has specific boxes for specific evidence. Most applicants leave points on the table in the same three places. Don't be one of them.

Wellbeing April 2025

The 4am Resus and What It Taught Me About Imposter Syndrome

The code came in at 4:03. I was the most senior person in the room. And for about eight seconds, I was absolutely certain I was the wrong person for this job.

Clinical April 2025

Paracetamol Overdose: The Treatment Window You Cannot Miss

The Rumack-Matthew nomogram is straightforward — until it isn't. A practical guide to the grey zones in paracetamol OD management for ED trainees.

ECG & Clinical March 2025

LBBB in the ED — When to Activate the Cath Lab (and When Not To)

New LBBB with chest pain used to be an automatic cath lab activation. The evidence has moved. Here's the current approach and the Sgarbossa criteria explained.

Career March 2025

Should You Apply for ACCS in Your FY2 Year?

The timing question every aspiring EM trainee wrestles with. The honest answer is more nuanced than most people will tell you — here's my take based on what I've seen.

Interview February 2025

ACCS Interview Structure 2025 — What's Changed and What Hasn't

The ACCS-EM interview format evolved this cycle. Here's a full breakdown of the current station structure, timing, and what each domain is actually testing.

Wellbeing February 2025

Night Shifts, Burnout, and the ED Doctor Who Quit

A trainee I mentored left EM last year. He was excellent. His story isn't unique — and there are things we could have done differently. An honest conversation about burnout.

Clinical January 2025

Sepsis in the ED — Why "Sepsis 6" Isn't Enough Any More

The Sepsis 6 bundle is 15 years old. The evidence has evolved. Here's what the current data says about early sepsis management and where the guidelines are lagging behind.

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