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 […]
Tag: #FOAMed
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 […]
Primary Survey May 2018. Emergency Medicine Journal.
This month’s primary survey is brought to you by Caroline Leech, Associate Editor, EMJ. Does a brief intervention in the ED reduce illicit drug use? Health promotion is critical in Emergency Medicine (EM), and Brief interventions (BI) for alcohol use are well established. This prospective cohort study assessed the efficacy of a BI for drug […]
Primary Survey March 2017
It’s March 2017 and time for a quick review of the best of the EMJ this month Under pressure: does cricoid improve laryngoscopy? Whether or not we should use cricoid during emergency intubation is fast becoming one of the greatest modern controversies in Emergency Medicine. While we await data from randomised controlled trials, in this […]
Are nurses always right?
As a junior doctor, I have had, and still have some fantastic senior colleagues to work with, who generally give important and valuable advice. Over the placements and years, their advice is slowly turning me into the doctor that I aspire to be, an amalgamation of all the good bits from every doctor I have […]
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 […]
Live and let die
Everyone dies. It’s a sad fact of life and a tough part of any healthcare professional’s day. Some deaths are unexpected, and hit us hard. Thankfully, there are those that we know are coming, and this gives us the opportunity to try to give that person a peaceful and comfortable end of their life, and for […]
Primary Survey: November 2016.
Richard Body, Associate Editor The Manchester derby for paediatric early warning scores There is clearly a need for a validated physiological early warning score for specific use in the paediatric emergency department (PED). In this issue, Cotterill et al compare two paediatric early warning scores developed in Manchester: the Royal Manchester Children’s Hospital Early Warning […]
Lessons from Camels. EMJ Blog.
Life long learning and developing is vital for the good ED practitioner, treatments change, pathologies change and even opinions change over months and years, and we on the front line must continually adapt and change with them. To highlight the importance of this I would like to tell you a story. It is a story […]
Primary Survey September 2016: EMJ
This month’s primary survey from the EMJ. Emergency Triage and Treatment Course in primary care health centres in Guatamala Emergency triage Assessment and treatment (ETAT) course was developed by WHO in 1999 as part of its Integrated Management of Childhood Illnesses program for improving outcomes for children. It has been devised as a hospital based […]