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.
How do you prepare for an emergency procedure you hope never to perform? In this 2013 reflection on perimortem caesarean delivery, Simon Carley explores advance planning, team roles, equipment and rehearsal for cardiac arrest in pregnancy.
Could some children needing wound care avoid procedural sedation? Simon Carley's 2012 reflection describes how LAT gel changed practice in his department, while distinguishing relief of pain from management of fear and distress, and considering when additional sedation may still be needed.
What changed when UK paracetamol-overdose guidance was revised in 2012? This historical review discusses the move to a single treatment line, changes to acetylcysteine administration and the implications for admissions, treatment complications and reducing errors in a familiar emergency presentation.
How did NICE's 2012 DVT guidance balance diagnostic certainty with the services available? Simon Carley discusses Wells scoring, D-dimer testing and ultrasound, focusing on the distinction between proximal and calf thrombosis and the uncertainty surrounding repeat scanning and anticoagulation.
Why do trainees enjoy emergency medicine placements yet hesitate to choose the specialty? In this 2012 reflection, Simon Carley explores working conditions, disruptive rotas, career prospects and recognition of extra effort, asking what might persuade enthusiastic junior doctors to stay.
Practical perspectives on trauma care and team leadership.
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