The Ugly Side of Exercise #RSMFrontline

  Last week I attended ‘Frontline resuscitation’, a one-day conference hosted on by the Military Medicine Section of the Royal Society of Medicine (#RSMFrontline). Its aim was to ‘showcase cutting edge developments in resuscitation medicine and provide understanding of how these can be translated to military medicine’. I was one several civilian attendees keen to benefit from […]

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Safety Newsflash! Retained Guidewires.

  If you’re a member of the Royal College of Emergency Medicine in the UK, you may have noticed an email pop up in your inbox recently, a safety newsflash on retained guidewires. RCEM put these out every few months, containing helpful and brief information in the crusade against events that should never happen, as […]

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Olympians and Comedians #PerformanceLDN

  Traditionally, human factors and performance psychology are low down the priority list (or non-existent) in medical training. Students graduate from medical school with ‘academic-style’ mindsets, arguably ill-prepared for the practical, performance-dependent branches of medicine. In short, our training predisposes us to the yips.   But change is afoot. On 24th June, I attended the London Performance Psychology Symposium at the Blizard Institute, close […]

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Primary Survey June 2017.

This month’s editor’s choice is actually a pair of papers: one, a study on the diagnostic characteristics of the T-MACS chest pain risk stratification score AND the other, a paper explaining a key methodological concept used in this and other studies of diagnostic tests, the receiving operator characteristic ROC) curve (Richard Body (an associate editor […]

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‘My Mental Toughness Manifesto’ Part 4: PROCESS

  Everything in aviation we know because someone somewhere died… We have purchased, at great cost, lessons literally bought with blood… We cannot have the moral failure of forgetting these lessons and have to relearn them.”   Sully Sullenberger Pilot of Flight 1549, ‘The Miracle on the Hudson’   All frontline healthcare warriors will bear scars […]

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‘My Mental Toughness Manifesto’ Part 3: PERFORM

  ‘Practice’ is about building a skillset, and fostering a way of life (via ‘immersion’) that serves to strengthen perception of one’s available resources when crunch time arrives.   However, reality dictates that certain scenarios are impossible to prepare for, particularly in the emergency medicine arena. The more chaotic the workplace, the higher the frequency of unavoidable threat appraisals.   Therefore, […]

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‘Why tomorrow’s patient needs a digital NHS’

Dr Robert Lloyd @PonderingEM is our MC – he’s talking of the front line challenges in the NHS #DHLcollaborate pic.twitter.com/7cCmubkm82 — Keith Grimes (@keithgrimes) February 22, 2017 On February 22, the EMJ blog team were well represented at #DHLcollaborate. This was the one-year ‘summit’ of DigitalHealth.London, an organisation (funded in large part by NHS England) designed to accelerate the uptake of digital technology in […]

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‘My Mental Toughness Manifesto’ Part 2: PRACTICE

In MMTM Part 1, two-step cognitive appraisals were explained. This process dictates whether one enters a challenged or threatened mindset in the event where an immediate performance is required under acute stress. Feeling challenged, of course, is one of the two chief components of a mentally tough individual. “I am 100% committed” “I feel challenged” In this post, we will […]

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‘My Mental Toughness Manifesto’ Part 1: Understanding Cognitive Appraisals

It has been an exciting period for me recently. Last month I was at the International Special Training Centre (ISTC) in Pfullendorf, Germany, where I had the honour of speaking to a group of Special Operations Combat Medics in-training from eleven nations across NATO. Staying at the base, meeting the guys, and contributing to their fantastic 26-week course was […]

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