An experienced emergency physician becomes a beginner again while training in prehospital care. Reflecting on uncertainty at a serious road collision, the author considers what new ED clinicians need from their senior colleagues: patience, support and an appreciation of how unfamiliar surroundings can unsettle even experienced doctors.
Iain Beardsell and Simon Carley discuss the patient presenting with headache in this 2014 induction podcast. The conversation covers the history that raises concern for serious causes, uncertainty around investigations, relief of pain and the value of talking decisions through with a senior colleague.
In this 2014 induction podcast, Iain Beardsell and Simon Carley work through the assessment of a breathless patient. They discuss clues from the patient’s history, overlapping causes of breathlessness, the contribution of imaging and blood gases, and bringing senior colleagues into the assessment early.
A 2014 learning guide to headache in the emergency department, with a podcast, self-test and further resources. It explores concerning features in the history, neurological examination and decisions about investigations, emphasising discussion with senior colleagues when serious causes remain a concern.
How should a new emergency doctor approach a patient with headache? In this 2014 podcast, Iain Beardsell and Simon Carley discuss serious diagnoses, the limits of investigations and the importance of relieving symptoms, with senior discussion helping trainees understand the reasoning behind clinical decisions.
What can troponin tell us, and what can it not tell us? In this 2014 podcast, Rick Body and Iain Beardsell explain the biomarker’s biology, distinguish myocardial injury from infarction, and discuss assay differences, sampling time and the importance of interpreting results in clinical context.