Natalie May continues her reflections on a year with Sydney HEMS, focusing on paediatric retrieval, drowning and airway care. These personal clinical lessons explore equipment, communication and the compromises involved in delivering critical care outside the hospital.
Emergency Department Management
How can emergency care reflect what matters to a patient before a crisis occurs? This 2017 introduction to ReSPECT explores personalised treatment planning, early conversations with patients and families, and why the discussion matters more than the form alone.
Busy shifts can make eating and drinking feel like an afterthought. Drawing on personal experience, Janos Baombe considers meal preparation, breaks, snacks and hydration, encouraging clinicians to give their own basic needs more attention during the working day.
Emergency Department Management
Could consultants gain more control over their working hours while maintaining department cover? Craig Ferguson explains how annualised hours and self-rostering work together in a shared spreadsheet, describing the flexibility achieved, the safeguards needed and the practical problems encountered.
Anand Swaminathan revisits his SMACCDub argument for considering thrombolysis in selected patients with submassive pulmonary embolism. This 2017 opinion piece weighs possible functional benefits against major bleeding, emphasising patient selection, shared decisions and the uncertainty in the evidence available then.
Does love have a place in critical care? In this companion to her SMACCDub talk, Liz Crowe explores compassion for patients, colleagues and ourselves, arguing that human connection, supportive leadership and psychological safety belong alongside clinical expertise.
Practical perspectives on trauma care and team leadership.
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