January Primary Survey

      Here are  the highlights from this month’s issue…   Location, location, location Five departments in the South West replied to a survey to see if they followed the CEM guidelines about having immediate availability of antidotes to a variety of poisoning agents. The questions asked if they knew were the antidotes were, […]

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December Primary Survey

  Here are  the highlights from this month’s issue…    Ophthalmoscopy in the Emergency Department Ophthalmoscopy is a difficult but essential skill in the Emergency Department environment. In this short report, the panOptic ophthalmoscope was compared to traditional direct ophthalmoscopy in conditions comparable to those found in most EDs. While the newer instrument was preferred, […]

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ED = Exhausted Doctors?

ED attendances are increasing at a phenomenal rate worldwide. This, along with staff shortages has resulted in an ever-growing mob of exhausted and dissatisfied staff members. Exhaustion can result in worsening patient care and even lead to serious medical errors. The European Working Time Directive (EWTD) have succeeded in capping average weekly hours, but 13-hour […]

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Crew Resource Management in the ED

The brave new world of major trauma centres (MTCs) is here; most Emergency Departments (EDs) are planning for them, be it reassurance (and relief?) for smaller ones as trauma patients are whisked off to the local MTC, or the increased workload for the new MTCs as ambulances head to their doors. Changes of this nature […]

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