Primary Survey July 2018

Primary survey  Do EPs change their clinical behaviour in the hallway encounters or when a companion is present? A cross-sectional survey and the commentary by Jacky Hanson and Kirsten Walthall Privacy is a key element in the process of undertaking a consultation with a patient, as it allows due care and attention to paid to the patient’s […]

Read More…

Primary Survey June 2018. Emergency Medicine Journal

This month the primary survey is collated and written by Edward Carlton, Associate Editor, EMJ. Editor’s Choice: Controversies in Sepsis In this issue of the Emergency Medicine Journal (EMJ) we have two papers exploring tools to predict critical illness in sepsis. Two retrospective cohort studies, in ED patients with suspected sepsis/infection, evaluate the diagnostic accuracy of […]

Read More…

“My Mental Toughness Manifesto” – The Talk

I recently spoke at the fantastic AGN 2018 conference in Graz, Austria. My talk was a slightly modified version of “My Mental Toughness Manifesto” presentation. The talk was live streamed, and a youtube video has since been uploaded (see above). It’s been quite a journey getting to this point. The blog posts, podcasts and talks […]

Read More…

Simulation Training in Virtual Reality

Recently I’ve been thinking a lot about how new technology will affect my life as an ED doctor. It’s 2018, and the un-ignorable hype surrounding #MedTech is reaching fever pitch. In my opinion, the big players are machine learning, telemedicine, and virtual reality (VR). Their impact promises to be unprecedented across the spectrum of medical environments, […]

Read More…

How Theme Park, Space Invaders and Go have paved the way for exponential healthcare

I often imagine my retired self looking back at this point in my career, marvelling at how primitive it all was. By that stage, hospital fax machines, handwritten patient notes, stethoscopes, ‘bleeps’ and other relics of a time-gone-by will be collecting dust in the Ancient Medical History Museum. I’ll be a regular visitor at the […]

Read More…

Say Never!

  In my last blog I wrote about retained guidewires and why they are important to those of us in the Emergency Department. There were some tips on how to prevent retained guidewires through observership, redundancy, and good clear verbal and written documentation to promote absolute certainty that the guidewire has been removed. I also […]

Read More…

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 some […]

Read More…

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 […]

Read More…

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 to the […]

Read More…