Place your clams and mussels in a pot, along with a splash of white wine. Cover and simmer over a lively flame just until their shells have opened.
Remove the clams and mussels from the pot and, when they are cool enough to handle, shell them. (You can leave a few unshelled for decoration.)
In a large skillet, sauté the garlic along with the parsley stems (and, if using, the hot red pepper) gently in abundant olive oil until fragrant and just beginning to brown around the edges. Remove and discard the garlic and parsley stems, along with red pepper if used.
Pour in the juices from the clams and mussels, making sure to leave any sediment in the pot. Let the juices cook off until well reduced.
Now add the tomatoes and simmer for a couple of minutes, until they've softened. Add the shrimp and toss just until they cooked through, then add the shelled clams and mussels. Turn off the heat but keep warm.
Bring a large pot of well salted water to the boil. Add the scialatelli and cook until ever so slightly undercooked, 3-4 minutes depending on their thickness.
Transfer the scialatelli to the skillet with the seafood and mix over gentle heat until the sauce clings to the pasta.
Serve immediately, sprinkled with more parsley if you like.