Why might the immediate fear of a missed diagnosis outweigh the less visible harms of unnecessary testing? Simon Carley explores ‘risk proximity’, distinguishing risks to patients from risks to clinicians and asking how their timing can distort decisions in the emergency department.
Emergency medicine, a risky business part 7: Risk proximity Read More
How can emergency clinicians keep up with the literature without being overwhelmed? Natalie May compares journal clubs, alerts, RSS feeds, online appraisals and social media in this 2015 overview, weighing the effort, access and critical appraisal involved in building a personal approach.
Information Overload – Keeping Up-To-Date at #RCEM15 Read More
Could an emergency department visit create an opportunity to improve longer-term health? Natalie May’s 2015 RCEM teaching notes explore behavioural economics, brief conversations, injury prevention and local public health partnerships, while considering clinicians’ own habits and the importance of respecting patients’ choices.
Better Than Cure? Public Health in the ED at #RCEM15 Read More
How can emergency clinicians protect their sleep around night shifts? This 2015 discussion explores the sleeping environment, preparation and recovery, breaks during a shift and the risks of travelling home tired, encouraging readers to reflect on how fatigue affects their health and performance.
Get the Best from Your Rest – Sleep Hygiene at St Emlyn’s Read More
The 2015 REVERT trial compared a modified Valsalva manoeuvre with the standard technique in adults with stable supraventricular tachycardia. This appraisal examines conversion to sinus rhythm, the need for further treatment and practical questions about applying the findings in the emergency department.
JC The REVERT trial: Dip or doom for SVT in the Emergency Department? Read More
An August 2015 overview of NICE’s draft major trauma guidance during its stakeholder consultation. The post summarises the proposed approach to airway care, bleeding, imaging, analgesia and communication, and explains how clinicians could comment; it records the consultation rather than the final or current guidance.
Major Trauma – Have your say on the NICE guidance for Major Trauma Read More
Do vein-finding devices improve first-attempt cannulation in children? This 2015 appraisal compares ultrasound, near-infrared imaging and standard practice in a Canadian emergency department trial. It examines staff training, sample size and generalisability, asking whether better vein visualisation translates into better outcomes.
JC: Gadgets and Gizmos for gaining IV access in kids. St.Emlyn’s Read More
How can online learning support doctors whose shifts prevent them attending departmental teaching? This 2015 announcement explains St Emlyn’s redesigned introductory emergency medicine course, combining selected FOAMed resources with workplace teaching, trainee reflection and tutor support during its initial testing phase.
Free #FOAMed based courses at St.Emlyn’s. The next step in shared learning Read More
