Why do resuscitation decisions sometimes swing back and forth without producing action? Simon Carley uses a trauma scenario to explore decision paralysis, sharing strategies for agreeing key information and review times while keeping the whole team involved.
Decisions, oscillations and damping. St Emlyn’s Read More
Does grouping admission decisions improve emergency department flow, or simply shift the queue? This journal club examines a US observational study of batching, exploring the tension between individual clinician productivity, patient boarding and the wider hospital system.
JC: To batch or not to batch? Managing flow in the ED Read More
A 2022 journal club on the FAKT trial of fentanyl during rapid sequence intubation with ketamine and rocuronium. It separates the primary blood-pressure outcome from secondary findings and considers how patient selection and drug timing affect interpretation.
JC: Fentanyl as an adjunct in RSI. Does it affect haemodynamic stability? St Emlyn’s Read More
When emergency departments are crowded, are we describing a risk or harm that is already happening? Simon Carley challenges the language used in patient safety discussions and argues for clearer communication about crowding and its consequences.
Managing harm in the emergency department. St Emlyn’s Read More
How do we protect the parts of emergency medicine that make a career sustainable when services are under constant pressure? This reflection explores teaching, research and professional development, and the role of leaders in preserving what gives colleagues energy and satisfaction.
Maintaining a balance in tough times. St Emlyn’s Read More
Iain and Simon review highlights from the St Emlyn’s blog in this combined June and July 2022 podcast round-up.
Podcast – June/July 2022 Monthly Round Up Read More
An update from July 2022 on refreshing the UK’s emergency medicine research priorities through the James Lind Alliance. The post explains why the exercise was being repeated and points to related priority-setting work in prehospital care and major trauma.
James Lind Partnership in EM update. St Emlyn’s Read More
A 2022 appraisal of the FORCE trial comparing an offer of bandaging with rigid immobilisation for children’s distal radius buckle fractures. It examines pain outcomes, treatment preferences and how the trial design reflects conversations with children and families.
The FORCE study: St Emlyn’s Read More
