When clinical findings and test results conflict, how should we rethink a diagnosis? Natalie May uses a case and thought experiments to explore heuristics, cognitive bias and probability, showing why more tests alone cannot resolve uncertainty in emergency medicine.
When is a Door Not a Door? Bias, Heuristics & Metacognition 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.
Should selected cardiac arrest patients bypass their nearest hospital for a specialist centre? This 2017 review examines a London pilot trial, explaining its narrow patient group and why demonstrating feasibility is different from establishing an improvement in survival.
JC: Cardiac arrest centres and bypass. St.Emlyn’s Read More
How should emergency medicine education change when information is instantly available and learning crosses borders? This 2017 talk companion challenges fact-recall assessments, explores personal learning networks and argues that online engagement must be accompanied by critical appraisal skills.
The future of Emergency Medicine Education in the Social Age. St.Emlyn’s Read More
How were emergency medicine’s research priorities chosen in 2017? This report and podcast introduction describe the James Lind Alliance and RCEM process, bringing patients, clinicians and researchers together to rank unanswered questions and guide future research beyond individual interests.
Here’s the top 10 (and more) research priorities in EM. James Lind & St.Emlyn’s Read More
Can emergency medicine remain a broad specialty as clinical practice becomes more specialised? Reflecting on his SMACCDub debate with Scott Weingart, Simon Carley examines generalism, critical-care skills and the risk that subspecialisation fragments the team’s ability to care for undifferentiated patients.
An uncomfortable truth: Is Emergency Medicine a failed paradigm? St.Emlyn’s Read More
A 2017 Northern Emergency Medicine conference companion introduces eleven papers on resuscitation, trauma, paediatric asthma and clinician wellbeing. Short appraisals and links to fuller discussions encourage readers to look beyond headline results before deciding what the findings mean for their patients.
10+1 papers for the Northern Emergency Medicine conference. St.Emlyn’s Read More
What can UK registry data tell us about traumatic cardiac arrest? This 2016 appraisal examines survival and injury patterns in TARN, while explaining why observational associations cannot establish which interventions work and why different causes may require different approaches.
JC: UK traumatic cardiac arrest stats. St.Emlyn’s Read More
