Emergency Medicine

Neurocritical care in Manchester NASGBI and St.Emlyn’s

Highlights from the 2015 neuroanaesthesia and critical care meeting in Manchester, with a focus on collaboration around traumatic brain injury. Dan Horner reflects on variation in practice, fatigue and situational awareness, specialist intensive care, tracheostomy safety and communication with patients who experience awareness during anaesthesia.

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JC: Are typical chest pain symptoms predictive of outcome? St.Emlyn’s

How much does describing chest pain as ‘typical’ tell us about the final diagnosis? Simon Carley reviews a 2015 observational study of clinician judgement, questioning the value of experience alone and examining how patient selection, specificity and the presentation of diagnostic performance affect interpretation.

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The Art of War

What might emergency clinicians learn from Sun Tzu’s The Art of War? This reflective essay applies ideas about preparation, self-awareness, teamwork and adaptability to the pressures of emergency care, treating organisational challenges as the adversary and explicitly rejecting the idea that patients are enemies.

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