What can an emergency department learn from a helicopter retrieval team? Following a 2013 visit to Sydney HEMS, Simon Carley reflects on multidisciplinary briefings, rehearsal, active listening at handover and shared leadership across challenging pre-hospital environments.
How can emergency clinicians better support patients with life-limiting illness and their families? Natalie May reflects on the shift from resuscitation to palliative care and introduces resources on communication, end-of-life conversations and palliative emergencies.
A clear referral starts before the phone call. Iain Beardsell explains how to prepare a concise SBAR handover, state what the patient needs and manage difficult conversations with inpatient teams while maintaining honesty, respect and professional relationships.
Welcome to Virchester, home of St Emlyn's virtual hospital. This tongue-in-cheek introduction explains its imagined setting, staff and services, using a fictional emergency department to reflect familiar challenges in clinical care, teaching and hospital life.
This 2013 journal club examines the Cochrane review of colloids versus crystalloids, with a particular interest in sepsis. Simon Carley explores mortality findings, numbers needed to harm and why differences between trial populations matter when interpreting a meta-analysis.
What does it mean for parents to be present during their child's resuscitation? Natalie May explores parental and staff perspectives, communication during cardiac arrest and the importance of supporting both families and the clinical team after a difficult case.
Practical perspectives on trauma care and team leadership.
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