When something goes wrong in healthcare, another training module is often the default response. Jesse Spurr examines the costs of that reflex and offers six steps for deciding when training is useful and when the system needs to change.
Conference ReportsGlobal Health
A preview of ICEM 2026 in Hamburg, introducing the programme, St Emlyn’s speakers and the value of exchanging ideas across emergency care systems. Simon Carley reflects on what an international meeting can offer clinicians working in different settings.
In this episode, recorded at Trauma 2030 at the Royal College of Surgeons, I sit down with one of St Emlyn's own, Rich Carden, former emergency physician, now intensive care trainee and PhD graduate in trauma sciences — to explore what shock actually means beyond the blood pressure reading.
Trauma Team Leader TipsMajor Trauma
Should you insert a chest drain before CT in trauma? This TTL tip explores the balance between physiological compromise, procedural delay and the risks of transfer, with an emphasis on making the decision explicit to the team.
Trauma Team Leader TipsMajor Trauma
External bleeding needs reassessment as trauma care progresses, even when treatment has started before hospital arrival. This TTL tip reviews pressure, tourniquets and haemostatic dressings, with practical points on technique and repeated assessment in the ED.
A case series from southern Gaza describes pericardiocentesis, drainage and intrapericardial tranexamic acid in 25 patients with penetrating cardiac tamponade. We examine the findings and their relevance to settings where emergency thoracotomy is unavailable, recognising the limits of this small study.
Practical perspectives on trauma care and team leadership.
Explore the series →