Category: The philosophy of EM

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

Children are just little adults. SMACC2013. St.Emlyn’s

Here at St.Emlyn’s we like a bit of #dogmalysis. We like to challenge established thinking and perhaps to look again at what we all know to be true. One such dogma is that ‘Children are

Review: The Essence of Emergency Medicine

It was  a long day. After getting home from a late shift the night before, I was up at 4 to catch my 0530 train, and toddled off down to London. What, you may ask could be

Emergency Medicine: A risky business part 6. How many steps to disaster?

So what do we mean by a miss exactly? Is it always a terrible thing and why is it that if we constantly miss diagnoses (we do you know) we are not in court every

It’s Good to Talk – Debrief in the Emergency Department

There is so much I could write about the role and value of our own humanity in the Emergency Department although much of it has been said before by people far wiser than me. But

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