How do you make simulation work in the department where your team actually practises? Simon Carley shares lessons on choosing learning goals, finding simple equipment, involving the whole team, protecting patients and participants, and using debriefs to turn everyday scenarios into improvements in teamwork and systems.
Top ten tips for In Situ Sim at St.Emlyns. Read More
Rich Carden uses Star Wars and Robert Cialdini’s principles of persuasion to explore everyday interactions in emergency medicine. The reflection connects reciprocity, consistency, social proof, liking, authority and scarcity with referrals, teamwork and diagnostic bias, encouraging awareness of psychological influences rather than manipulation of patients or colleagues.
Obi Wan’s Guide to Emergency Medicine. Rich Carden at St.Emlyn’s Read More
Iain Beardsell and neurointensive care consultant John Hell discuss diffuse axonal injury in this 2014 podcast. Using a hypothetical injured cyclist, they explore the underlying mechanisms, why initial imaging may reveal little, the evolution of secondary injury and the difficulty of predicting recovery for an individual patient.
Podcast – Diffuse Axonal Injury with John Hell Read More
Day two highlights from the College of Emergency Medicine’s 2014 Exeter conference, with short recordings on rugby medicine, quality improvement, chest pain assessment, atrial fibrillation and mental health. The collection also links to the college’s mental health toolkit and the other daily reports.
College of Emergency Medicine Conference: Exeter 2014 Day 2 Read More
A 2014 satire recasts the emergency department four-hour target as a fictional drug, ‘Targetine’. Iain Beardsell uses the analogy to question the evidence behind performance targets, their unintended effects on priorities and staff wellbeing, and whether patient-centred outcomes receive the same scrutiny as compliance.
The Ignored Drug Scandal in Emergency Medicine Read More
Rick Body introduces his SMACC Gold 2014 talk, ‘The Heart Under Stress’, on using history, examination and troponin testing when assessing possible acute coronary syndrome. The accompanying post also reflects on turning research into an engaging conference presentation, with storytelling and humour alongside the clinical discussion.
The Heart Under Stress – St. Emlyn’s at SMACC Gold Read More
In this 2014 guest post, Mark Wilson explains the origins of GoodSAM: connecting nearby trained responders with emergencies before an ambulance arrives. He describes the thinking behind the app, its early defibrillator mapping and questions about responder participation, registration and indemnity during the project’s development.
Free Open Access RESUSCITATION – the GoodSamApp with Mark Wilson Read More
Does a lack of evidence for benefit mean paramedic trauma training does not work? This 2014 critique of a Cochrane review examines its small, dated and methodologically limited evidence base, distinguishing uncertainty about educational interventions from a justification for withdrawing investment in training.
JC: Is there any point teaching paramedics? St.Emlyn’s Read More
