Does intravenous magnesium improve outcomes for patients with acute non-traumatic headache in the emergency department? We review the latest Annals RCT and discuss whether it should change practice.alo
JC: Magnesium for Acute Headache: Maybe, but perhaps not for all.. Read More
Learn how trauma team leaders can use the aviation “sterile cockpit” principle to reduce interruptions, improve communication and increase patient safety during high-risk procedures.
TTL tip 17: No chat below 10,000 Read More
ChatGPT can now pass many medical examinations with scores that exceed those of average candidates. Does that mean traditional assessments are no longer fit for purpose? We review the evidence and explore what AI means for emergency medicine education, MRCEM examinations and patient safety.
Artifical Intelligence, Assessment and the Future of Training Read More
Evidence from academic studies, professional bodies, coroners, NHS trusts and patient-safety investigators increasingly links corridor care and prolonged emergency department boarding with avoidable harm. Stevan Bruijns asks whether the evidence now warrants a formal public inquiry.
Corridor care and boarding harm: how much evidence is enough? Read More
St Emlyn’s practical guide to ketamine use as a Trauma Team Leader, including analgesia, procedural sedation, delayed sequence induction, dosing and monitoring. #FOAMed
TTL tips 16: Ketamine in trauma patients. Read More
It is tempting to think that expertise comes from accumulating enough facts, passing enough exams or simply spending 10,000 hours at work. In this episode, Iain Beardsell is joined by emergency physician, intensivist and medical educator Sara Crager to explore why expertise is less about how much we know and more about how we think.
Ep 294 – Experts Are Made, Not Born: Sara Crager on Mental Models and Rapid Sequence Read More
Great review from Stevan.
Emergency medicine clinicians are increasingly asked to balance brutal realities with hope for a better future. Drawing on the Stockdale paradox, NHS Staff Survey data, moral injury research and personal experience, this reflective article explores burnout, leadership, crowding and why surviving difficult systems depends not only on resilience, but on having colleagues who have our back.
The limits of holding on to realism and hope alone Read More
Struggling with vascular access in trauma? Practical tips on IO access, central lines, external jugular access and rapid alternatives for trauma resuscitation.
TTL Tip 15: Alternative vascular access Read More
