This short January 2013 post introduces a conversation with Matthew Harris about PACE and graded assertiveness in pre-hospital care. It links to a discussion of paramedic practice, learning and the forthcoming SMACC and SimWars events.
How can clinical feedback become a useful conversation rather than a telling-off? Natalie May explores preparation, shared goals and specific observations, showing how curiosity about a trainee's reasoning can lead to reflection, agreed actions and a stronger learning relationship.
Can case conferences help teams learn without becoming an exercise in blame? Rick Body uses a hypothetical asthma emergency to explore constructive reflection, fair feedback and the importance of recognising good care alongside opportunities to improve.
How should an emergency team respond when a patient refuses treatment after an overdose? This 2012 case discussion explores decision-making capacity, disagreement between clinicians, senior involvement and legal advice, illustrating the complexity of balancing autonomy with potentially life-saving treatment.
What information gets lost when a clinical consultation needs an interpreter? This reflection discusses qualitative research on untranslated asides, exploring how concerns, beliefs and social context can remain hidden even when the clinician receives answers to the questions they asked.
Practical perspectives on trauma care and team leadership.
Explore the series →