How can a busy emergency department make learning part of everyday work? This article explores psychological safety, leadership and shared reflection, with practical ideas ranging from brief debriefs to sharing learning between colleagues and testing small changes in practice.
Alice Hutin describes how the Paris SAMU team delivers prehospital extracorporeal CPR for selected patients with refractory cardiac arrest. Recorded at Tactical Trauma 2024, the interview explores on-scene logistics, patient selection, communication when eCPR is not appropriate and team debriefing.
PodcastEvidence-Based Medicine
The August 2024 podcast round-up explores the timing of critical procedures, smoking cessation in the ED, intranasal ketorolac for renal colic and open peer review. The discussion connects these posts with questions about clinical judgement, resources and how we assess evidence.
Does a 2 g TXA bolus differ from a 1 g bolus followed by a 1 g infusion in traumatic brain injury? This appraisal examines a subgroup analysis of patients with CT-confirmed bleeding, separating its mortality and neurological findings from the limits of post hoc evidence.
In this episode of the podcast, Andrew Petrosoniak leads us through how simulation can be used beyond education for system design and improvement.
Does starting with anterior-posterior rather than anterior-lateral pads improve cardiac arrest outcomes? This appraisal examines an observational study in out-of-hospital VF or pulseless VT, distinguishing return of spontaneous circulation from longer-term survival and considering the biases that prevent a firm change in practice.
Practical perspectives on trauma care and team leadership.
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