Primary Survey July 2017

Last winter was a difficult Winter for Emergency Medicine (EM), ED and the staff who work within them. The unacceptable pressures that faced us have only partly gone away and many of us have probably not fully recovered. Stress levels were high, dissatisfaction wide spread, the patients kept coming, and few appeared to leave. As […]

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Primary Survey Feb 2017

Highlights from this issue Ellen J Weber, Editor in Chief   Teaching how to think Somewhere between entering medical school and leaving specialty training, a young doctor makes a transition from being a complete novice to a physician capable of making diagnostic and treatment decisions more or less independently. How exactly does that happen? Two […]

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The ‘Deliberate Practice Mindset’

Performance improvement is an interest of mine. I have previously blogged and podcasted about the strategies I employed to lift my game (from rock-bottom) when working in an extreme environment – a South African township ED. I first became aware of ‘deliberate practice’ after reading an excellent St. Emlyn’s post last year. I had never encountered the concept before, but […]

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Primary Survey January 2017

Highlights from this issue Simon Carley, Associate Editor Another fabulous year in Emergency starts with a new world order and new challenges for EM and prehospital care wherever you are in the world. This month our contributors tackle systems, cases, prognosis, analgesia, urine collection and more. Here’s the highlights. Scoring systems and nurses intuition I’ve […]

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Primary Survey December 2016

Highlights from this issue Ian Maconochie, Deputy Editor Weekend working This is a controversial area in the setting of UK healthcare practice. Claims have been made about patient safety being affected disproportionately during the weekend in comparison with the rest of the week. This paper looks at ED working and has an important commentary to […]

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Nuances of Neurogenic Shock

Even when the mechanism is highly suggestive for significant spinal injury, the shocked major trauma patient is haemorrhaging until proven otherwise; cue blood products and damage control resuscitation. When there is no evidence of external haemorrhage in the primary survey, the EFAST is negative, and the trauma series CT shows no evidence of bleeding, a […]

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The weekend effect: Part 2 – a traumatic time!

If you haven’t already, listen to Ellen Weber and Chris Moulton talk about the background to the weekend effect. Click HERE. The UK Junior Doctors’ contract changes imposed by the government in order to shape their poorly defined ‘Seven Day NHS’ caused much debate and consternation surrounding the ‘weekend effect’, which seemed to be the […]

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