Emergency Department Management
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.
This trauma team leader guide discusses ketamine for analgesia, procedural sedation and delayed sequence induction. It covers monitoring, dose adjustment and the importance of matching its use to the patient and the team's airway expertise.
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.
How do emergency clinicians hold on to hope while acknowledging the reality of a struggling system? Stevan Bruijns reflects on the Stockdale paradox, moral injury and the colleagues who help us endure, while keeping responsibility for working conditions with the organisation.
Struggling with vascular access in trauma? Practical tips on IO access, central lines, external jugular access and rapid alternatives for trauma resuscitation.
What does medical boarding cost patients and the wider emergency care system? Stevan Bruijns reviews regional data linking boarding with mortality, longer stays and ambulance delays, then explores the limitations of the evidence and the argument for action within acute trusts.
Practical perspectives on trauma care and team leadership.
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