Why can delays persist even when individual parts of an urgent and emergency care pathway work well? Stevan Bruijns examines the gaps between emergency care, acute care and discharge, and the often unrecognised work of bed and site managers who connect them.
Ghost jams and the seams between the Model UEC papers Read More
Emergency Department crowding is hard to explain to non-clinical audiences. A cognitive bridge is a three-step tool to help others understand.
Explaining Emergency Department Crowding Using a Cognitive Bridge Read More
What changed in NHS England’s urgent and emergency care plan for 2025/26? This analysis examines its emphasis on shared accountability and care coordination, alongside concerns about funding, workforce capacity and the challenge of turning national ambitions into local improvements.
The Urgent & Emergency Care Plan 2025/26: Evolution, Promise & Challenges Read More
Emergency departments (EDs) often seem to shift from calm to crisis in an instant. Why? This article explores ED crowding through the lens of complexity science and self-organised criticality, explaining how minor changes—like a few extra patients—can trigger disproportionate chaos.
Self-Organised Criticality: Why your ED is like a Sand Pile Read More
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
How do you keep track of an entire emergency department while leading a shift? This personal account offers a mental model for the emergency physician in charge, using circles of care, the four S’s, bookmarking and partnership with the nurse in charge.
An EPiC mental model. St Emlyn’s Read More
Rusty Carroll reflects on moving into a leadership role as an advanced clinical practitioner. The post explores prioritisation, breaking work into manageable tasks, building trust, delegation and humility, with lessons intended for colleagues across professional backgrounds.
The Rise of an ACP: Leadership. Read More
Joke Van kerkhoven draws on emergency medicine and elite sport to explore leading yourself under pressure. Written during COVID-19, this practical reflection covers mindset, breathing, planning and recovery, with ways to prepare for difficult situations and learn from them afterwards.
Lead yourself (through the COVID-19 pandemic). St Emlyn’s with Joke Van kerkhoven Read More
