A 2017 conversation with the #bad_EM team explores African emergency medicine, shared learning and plans for the 2018 festival conference near Cape Town. The accompanying post considers why locally relevant FOAMed and support for African delegates matter.
A year with Sydney HEMS offers lessons beyond clinical practice. The final instalment explores facing fears, recognising fatigue, responding to frustration and making time for the people who matter, alongside the value of humility and reflection.
Should patients without ST elevation undergo early coronary angiography after cardiac arrest? This 2017 review examines mortality and neurological outcomes, then challenges the impressive apparent benefit by considering selection bias, retrospective studies and the limited randomised evidence available at the time.
What should a triage score actually achieve? This discussion questions whether diagnosis, mortality or admission adequately measure success, and argues for greater attention to patients whose clinical course or suffering could be changed by earlier intervention.
The October 2017 podcast round-up revisits major incidents, thromboprophylaxis, oxygen in acute coronary syndromes and emerging cardiac biomarkers. It also reflects on the physical demands of EM training and the specialty’s annual scientific conference.
Will expanding training places secure the emergency department workforce? This response to England’s 2017 workforce plan examines recruitment, new clinical roles and protected teaching time, while arguing that consultant wellbeing and sustainable careers need much greater attention.