How should leaders respond when a team faces a serious failure? At Tactical Trauma 2024, RCMP commander Kevin Cyr discusses visible leadership, support that continues beyond the immediate aftermath and debriefing for practical learning, with reflections on what healthcare teams can take from his experience.
Podcast – Learning through Failure – Kevin Cyr at Tactical Trauma 2024 Read More
This blog post reviews a study comparing non-invasive blood pressure (NIBP) and invasive blood pressure (IBP) monitoring in pre-hospital critical care.
Non-invasive or arterial pressure monitoring in PHEM? Read More
Tom Roberts and Dan Horner discuss the SHED study of adults presenting with acute headache. The article and podcast examine CT timing, the Ottawa SAH rule and lumbar puncture, including why observational evidence and the distinction between aneurysmal and non-aneurysmal bleeding matter when considering changes to practice.
The Subarachnoid Haemorrhage in the Emergency Department (SHED) Study Read More
Revisit Cliff Reid’s 2013 talk on why emergency medicine can be a great job. In this 2024 reflection, a difficult clinical case prompts Simon Carley to return to the talk and the meaning found in caring for patients and their families.
EM is a great job. After 11 years is Cliff Reid still right? Read More
A Central Australian case series explores adrenaline infusions for shock in remote settings with limited resources. This appraisal examines the observational evidence, gaps in the safety data and practical concerns about labelling, flow control and supervision before considering wider use of the technique.
The Dirty Adrenaline (Epi) drip. Read More
What does a crowded emergency department feel like to patients and their families? Liz Crowe reviews a small qualitative interview study exploring loss of autonomy, unmet expectations and vulnerability, then considers practical ways to improve communication, comfort and attention to basic needs.
Patient experience in the Emergency Department Read More
Rick Body reflects on publishing research through open, ongoing peer review, where articles appear before review and subsequent comments and revisions are public. His experience opens a discussion about transparency, delays and whether peer review should be a continuing conversation rather than a publication gatekeeper.
Open and Ongoing Peer Review: A New Model for Scientific Research Read More
When is the right moment to perform a high-stakes emergency procedure? This reflection uses the Goldilocks analogy to explore the harm of acting too early or too late, the uncertainty between those extremes and how training and peer review might develop judgement.
Optimal Timing for Life-Saving Procedures in Critical Care: Finding the Goldilocks Moment Read More
