Philosophy of Emergency Medicine

Does a missed diagnosis inevitably lead to serious harm? Part six of the Risky Business series explores the steps between diagnostic uncertainty and a poor outcome, including deterioration, return visits and opportunities to reconsider the diagnosis and intervene.

How can an emergency department debrief support learning after a difficult event? This 2013 discussion considers purpose, timing, facilitation, hierarchy and staff participation, with an emphasis on recognising good practice, agreeing improvements and identifying colleagues who need further support.

A report from Joe Lex’s visit to St Emlyn’s in April 2013 as its first visiting professor. The evening brought emergency physicians and students together to hear experiences from his career and reflect on the values and principles behind their work.

This April 2013 announcement invited readers to an evening with emergency physician and FOAM educator Joe Lex in Manchester. Natalie May introduces his contribution to open-access education and shares the enthusiasm generated by his talk at SMACC 2013.

Should doctors introduce themselves by their first name or their title? Simon Carley reflects on how introductions and hierarchy shape communication with patients and colleagues, and why making it easier for junior staff to speak up matters.

How can emergency clinicians better support patients with life-limiting illness and their families? Natalie May reflects on the shift from resuscitation to palliative care and introduces resources on communication, end-of-life conversations and palliative emergencies.