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.
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.
Podcast – September 2018 Monthly Round Up Read More
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.
JC: Devastating Brain Injury. Complex decisions in the resus room. St.Emlyn’s Read More
How do we make decisions when time is short and information incomplete? This introduction to St Emlyn’s first e-book brings together risk, probability and metacognition, explaining why thinking about our thinking matters in emergency medicine.
Risk, probability and decisions in Emergency Medicine. St.Emlyn’s Read More
How much does delay matter when giving tranexamic acid? This 2017 journal club examines individual patient data from CRASH-2 and WOMAN, exploring the relationship between treatment timing and bleeding deaths, the size of the benefit and the analysis’s limitations.
JC: Does earlier TXA save lives? St.Emlyn’s Read More
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.
Securing the Future of the ED workforce? St.Emlyn’s Read More
Getting started in emergency medicine research can feel daunting. Notes from the EMSSA 2017 workshop explore choosing a worthwhile question, finding a supervisor, building collaborations and securing funding, before considering how to approach publication.
Research Workshop at EMSSA. St.Emlyn’s on tour. Read More
Does routine oxygen improve outcomes in suspected acute coronary syndromes? This 2017 appraisal of DETO2X-SWEDEHEART examines its patient selection, unexpectedly low event rate and mortality findings, explaining why a non-significant result does not establish that two treatments are equivalent.
JC: Oxygen in ACS. A fuss about nothing? The DETO2X Trial at St.Emlyn’s Read More
