How can reflection become useful learning rather than a compulsory portfolio exercise? Natalie May explores planned and spontaneous reflection, patient follow-up, feedback and the biases that shape our accounts. Her article and accompanying podcast consider how educators can create safer, more meaningful opportunities to learn from practice.
Distinguishing peripheral dizziness from posterior circulation stroke can be difficult in the emergency department. This 2018 review discusses bedside assessment, including nystagmus, HINTS, neurological examination and gait. It emphasises the knowledge and practice needed to use these techniques, rather than offering a simple discharge rule.
The September 2018 podcast roundup revisits airway management after out-of-hospital cardiac arrest, the Zero Point Survey and pulmonary embolism. Its linked reading also covers neonatal emergencies, equality in emergency medicine and reports from EMS Gathering, ResusTO and EuSEM, bringing together the month’s clinical and professional discussions.
Chris Gray reports from the 2018 Northern Emergency Medicine conference in Durham. The programme connects end-of-life care, frailty and prehospital developments with workforce roles, burnout and major-incident preparation. Reflections on the Manchester attack underline the importance of understanding both the response plan and support for colleagues.
How should teams approach apparently devastating brain injury when early prognosis is uncertain? This 2018 article and podcast explore guidance on initial care, conversations with families and the risk of premature treatment limitation. They also consider the practical tensions around specialist transfer, intensive-care capacity and organ donation.
The St Emlyn’s team looks back on 2017 through favourite blogs, podcasts, books and conferences. Alongside clinical and educational discoveries, contributors reflect on friendship, workload, wellbeing and the experiences that shaped their year, before sharing hopes and plans for 2018.