Category: The philosophy of EM

Who’s That Girl? Impostor Syndrome at #SMACCGold

I want to let you into a secret. I’m an impostor.   OK, that’s not quite true. I’m a 34-year-old (shock!) Emergency Medicine trainee with a penchant for karaoke and a passion for education, but

Marginal gains, Matt Parker, F1 and the ED. St.Emlyn’s

Are you looking for the next big thing in resuscitation? Are you seeking the next miracle drug, technique, algorithm that will save your patient? Of course you are. You are reading the St.Emlyn’s blog, or

When pain relief is not enough in the Emergency Department. St.Emlyn’s

Treating pain in the Emergency Department is a skill, and a really important one.  Although we’d like to think otherwise, saving lives actually accounts for only a very small part of what we do as emergency physicians.  The

Are you a good Trauma Team Leader? St.Emlyn’s

Of course you are, as Cliff Reid put it at SMACC2013 you are possibly even an ATLS instructor – you trauma badass! Why even ask the question? As a consultant & trainee you’ve been leading

Miscommunication and Handover in the ED

Eavesdropping On my last set of night shifts I was reviewing a patient on our observation ward when I overheard the following nursing handover: “Mrs Jones is waiting for ophthalmology to close her eyelid wound.

There’s a vIP in the ED at St.Emlyn’s

The setting – Resus, The ED, St.Emlyn’s, Virchester The event – A major trauma team resuscitation, multiple stabbing to chest and abdo. The patient has arrived and you’re just about to head to CT. My

Ethical dilemmas in Emergency Medicine Part 2

Last week we published our first ‘Ethical dilemmas in Emergency Medicine’ post, complete with a hypothetical scenario that hopefully got you thinking! I was quite humbled by the quality of the responses that came in.

Attitude of Gratitude – Showing Some Love in the ED

There are many things I do which are stereotypically “British”: drinking tea, apologising instinctively (especially when it isn’t my fault), engaging in our national sport (queueing), becoming intensely irritated when other people fail to comply

Ethical Dilemmas in Emergency Medicine Part 1

  Emergency Medicine is a specialty that you may not think involves a lot of ethical dilemmas. The obvious issues like abortion, euthanasia and reproductive ethics affect other people. However, ethics is actually really central

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Wrestling with Risk at SMACC 2013 St.Emlyn’s

Thanks so much to Chris, Oli and Roger for helping me put together this presentation from SMACC 2013 on wrestling with risk. If you’re an ED doc then the summary is…. You don’t make diagnoses


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