How can an emergency department debrief support learning after a difficult event? This 2013 discussion considers purpose, timing, facilitation, hierarchy and staff participation, with an emphasis on recognising good practice, agreeing improvements and identifying colleagues who need further support.
It’s Good to Talk – Debrief in the Emergency Department Read More
A 2013 journal club reviews Louise Cullen and colleagues’ validation of a two-hour strategy using high-sensitivity troponin to assess chest pain. It explores diagnostic performance, the proportion potentially suitable for early discharge and how patient selection and subsequent interventions complicate interpretation.
JC: Cullen on high sensitivity Troponin. St.Emlyn’s Read More
What might emergency physicians learn from Sir Alex Ferguson’s leadership? Written on his retirement in 2013, this reflection explores motivation, proportionate praise, honest feedback, relationships and learning from setbacks, drawing connections between leading a football team and improving an emergency department.
Sir Alex Ferguson and Emergency Medicine Read More
A report from Joe Lex’s visit to St Emlyn’s in April 2013 as its first visiting professor. The evening brought emergency physicians and students together to hear experiences from his career and reflect on the values and principles behind their work.
Joe Lex at St. Emlyn’s Read More
How often are peripheral intravenous cannulas placed in the emergency department actually used? This 2013 journal club reviews a Melbourne study, considers use after admission as well as in the ED, and asks how teams might reconsider routine cannulation and audit local practice.
JC: Is that IV really needed? Read More
How should a senior doctor respond when a trainee knows something they do not? Remembering his colleague Luka, Simon Carley explores professional humility, authority gradients and learning from juniors, with practical ways to welcome challenge and share what it teaches us.
How to cope when your registrar knows more than you do. St.Emlyn’s Read More
Which trauma papers deserved attention at the 2013 Trauma Care conference? Simon Carley shares his shortlist, from tranexamic acid and analgesia to imaging and airway management, and reflects on the limits of presenting ten studies in half an hour.
Trauma Care Conference Telford 2013. St.Emlyn’s on tour. Read More
Can bedside ultrasound identify the cause of undifferentiated hypotension? This 2013 journal club examines a 108-patient diagnostic study, questioning how agreement with a final diagnosis relates to clinical judgement, potential bias and better patient outcomes.
JC: Point of care USS for Hypotension in the ED. St.Emlyn’s Read More
