How common is venous thromboembolism after major trauma, and who is most at risk? This 2017 systematic-review appraisal finds widely varying estimates and limited evidence, exploring why differences in populations and testing make simple conclusions difficult.
Self-care in retrieval medicine starts with ordinary needs: food, rest, sleep and time away from work. This sixth instalment of the Sydney HEMS reflections considers team morale, fitness and the culture of working while ill, drawing on a year of personal experience.
Does apnoeic oxygenation help during emergency department intubation? This appraisal of the 2017 ENDAO trial questions whether average oxygen saturation captures the outcome that matters, examining exclusions, sample size and the uncertainty around patients most likely to desaturate.
When a senior emergency physician becomes a patient in his own department, familiarity and deference can complicate care. Andy Volans shares his experience and reflects on careful history-taking, consistent assessment and the risks of giving colleagues a different kind of treatment.
Starting ST3 brings new clinical responsibilities as well as portfolio demands. Drawing on a year in paediatric emergency medicine, this post discusses listening to parents and nurses, working with uncertainty, building relationships and making space for life outside the department.
Emergency Department Management
Leadership is not reserved for the most senior person in the room. Reflections from a year with Sydney HEMS explore responding to hostility, supporting colleagues after difficult jobs, listening to every voice and recognising the value of everyday kindness and humility.
Practical perspectives on trauma care and team leadership.
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