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
How should a clinician respond when a patient wants to record a consultation? Natalie May’s 2014 UK-focused discussion explores discomfort, trust, consent, information recall and the differences between patient-made and clinician-made recordings, drawing on the professional guidance available at the time.
For the Record: Can Patients Record Clinical Consultations? 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
Could a follow-up phone call reduce return visits after a child leaves the emergency department? This 2014 appraisal examines a Canadian study in which callers collected concerns without answering them, questioning allocation methods, outcome measurement and whether reattendance alone can tell us that care was better or worse.
JC – Just Checking: Do Follow-Up Phone Calls Reduce Reattendance to PED? Read More
A guide to the Royal College of Radiologists’ 2014 recommendations on imaging injured children. Natalie May explains why paediatric injury patterns and radiation concerns require a distinct approach, then works through the report’s advice by body region and the role of clinical assessment in deciding whether to image.
Imaging in Paediatric Trauma – Guide to the RCR Guidelines. 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
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
