A personal reflection from 2023 on artificial intelligence in medicine, education and assessment. Drawing on automation in aviation, the author explores the potential benefits and the risk of losing the clinical experience and judgement needed when technology cannot provide an answer.
Iain and Simon review the October and November 2023 posts, including CRYOSTAT-2, the DAShED study and the annual ILCOR update. The episode also considers emergency department flow, the value of silence and the emergency care community's humanitarian voice.
Journal ClubEvidence-Based Medicine
How do injury patterns in e-scooter riders compare with those in cyclists? This appraisal examines a retrospective trauma registry study, considering the injuries recorded, differences in the circumstances of incidents and the implications for prevention and assessment.
How do experienced prehospital clinicians decide when to give blood? This appraisal explores a qualitative study of physicians at two UK air ambulance services, examining the role of experience and uncertainty, and what these decisions can teach us about training and reflection.
Writing during the war in Gaza in 2023, the authors argue for a clearer, consistent humanitarian voice from emergency care. They call for advocacy for patients and colleagues, protection of civilians and a ceasefire, without allowing political divisions to silence concern.
How should clinicians decide who needs CT imaging for possible acute aortic syndrome? This appraisal examines the DAShED study's assessment of clinical decision rules and clinician judgement in UK emergency departments, highlighting the uncertainty that remains in this difficult diagnosis.
Practical perspectives on trauma care and team leadership.
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