The NHS drowns in innovation whilst repair work goes unsupported. Why Bronson’s Design as Repair framework matters for emergency medicine.
Design as repair: what Emergency Medicine can learn (and why it is so hard) Read More
A retrospective review of 600 patients treated for suspected sepsis in US emergency departments raises questions about antibiotic overtreatment. We examine the study’s use of hindsight, possible treatment-related harms and how its findings translate to UK practice.
JC: Are we overtreating suspected sepsis with broad-spectrum antibiotics? Read More
A retrospective study describes emergency thoracotomy for penetrating trauma in two Cape Town district hospitals. We examine the reported outcomes, the constraints of these settings and why patient selection, timing and incomplete records matter when interpreting the results.
Emergency Centre Thoracotomy in South Africa. Read More
Emergency care is more pressured than ever—but is compassion being lost in the chaos? This post explores the reality of compassion fatigue, the systemic and cultural barriers to empathy, and practical, evidence-based strategies to reconnect with patients in meaningful ways.
Is there still room for compassion in emergency care? Read More
Emergency departments (EDs) often seem to shift from calm to crisis in an instant. Why? This article explores ED crowding through the lens of complexity science and self-organised criticality, explaining how minor changes—like a few extra patients—can trigger disproportionate chaos.
Self-Organised Criticality: Why your ED is like a Sand Pile Read More
Recorded at the London Trauma Conference 2024, Peter Brindley discusses social media, artificial intelligence and the responsibilities of a medical digital presence. The conversation explores misinformation, patient beliefs and the questions AI raises for clinical judgement.
Podcast – Social Media and Artifical Intelligence in Medicine with Peter Brindley at LTC Read More
Recorded at the London Trauma Conference 2024, Richard Lyon shares insights from his powerful presentation on the importance of detailed case learning and debriefing both in hospital and pre-hospital settings.
Podcast – Excellence in Debriefing with Richard Lyon at LTC Read More
Twenty-one years of London’s Air Ambulance data offer a closer look at prehospital resuscitative thoracotomy. This appraisal examines survival, timing and the distinction between tamponade and exsanguination, alongside the limits of applying an observational study from a mature urban service elsewhere.
