What can emergency medicine learn from anaesthesia’s environmental footprint? This review of a 2019 editorial considers anaesthetic gases, equipment, waste and the wider life cycle of healthcare products, alongside the climate implications of travel for conferences and education.
JC: Sustainability and Climate Change in Anaesthesia. St Emlyn’s Read More
How should we interpret survival improvements after changes to UK trauma services? This appraisal examines TARN data from 2008–2017, considering regional trauma networks alongside changing patient populations, case identification and missing data. It also highlights the challenge of recognising serious injury in older people.
Trauma in the UK, who cares? Read More
What stays with clinicians after a lesson learned the hard way? Natalie May reflects on an EMSA 2018 session covering handover, prehospital priorities, career values and preparation. Her own contribution examines implicit bias, privilege and the need to understand a patient’s perspective rather than assume it matches our own.
Lessons Learned at #EMSA18 Read More
Can short-term targets distract us from the purpose of healthcare? Craig Ferguson uses finite and infinite game theory to explore the tension between measurable performance and lasting quality, including how targets can distort priorities, consume resources and produce unintended consequences in emergency medicine.
Only a game? Infinite game theory in Emergency Medicine 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
Would your hospital’s major incident plan work with the staff and resources actually available? This 2017 conference companion explores usable action cards, familiar roles, scalable command structures and local training, with attention to regional networks and an all-hazards approach.
Major incident planning at the 14th ACCS meeting. St.Emlyn’s Read More
Could consultants gain more control over their working hours while maintaining department cover? Craig Ferguson explains how annualised hours and self-rostering work together in a shared spreadsheet, describing the flexibility achieved, the safeguards needed and the practical problems encountered.
How can an ED make its leadership and development roles clearer? Southampton’s collaboratively written leadership portfolio sets out duties, accountability and allocated time, helping consultants and specialty doctors use job planning to agree expectations and review their non-clinical work.
Developing a “Leadership Portfolio” in your ED Read More
