Leadership and Trust

Trust lies at the foundation of any relationship. A relationship without trust is never going to be long-lasting, or at least, a positive one. The same applies with the leader-follower relationship in…

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Dying Matters in the ED

Working in the ED probably exposes us to a considerable amount of death and dying. From the unexpected cardiac arrest or trauma patient, through to the expected death of a patient with a terminal prog…

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Advanced Lines

We’re great at getting access in the ED – we’ve got our ultrasound to help and when that doesn’t work, we might insert a central line (only takes 30 seconds, right?), or an int…

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Responding to Complaints

Answering complaints is an important role of the Emergency Department Consultant and it’s now part of the RCEM management portfolio. We’ve made a few suggestions about how to answer compla…

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Simulation Overview

Immersive manikin simulation is a popular teaching modality in healthcare, with lots of tips everywhere. It’s so popular RCEM does have a simulation committee, and regional leads have been appoi…

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Aortic Dissection

About 1 year ago, Pam, a 62-year-old, recently retired teacher, fit, well & active, suffered sudden onset of severe ripping pain in her chest & upper abdomen…

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Medical Gases in ED

Medical gases are something used every day in the emergency setting, both pre-hospital and in-hospital, whether it be oxygen, medical air, or nitrous oxide. Each of these gases have their part to play…

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Trauma ibook – an introduction

This iBook is structured according to the ATLS 10th edition chapters. Why have we done this when ATLS (Advanced Trauma Life Support) is often considered “archaic” and not to be recommended…

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The 3Cs of Paediatrics

It’s Friday evening and you’re at work in the ED (where else would you rather be??). Jack is a 15 year old boy who has taken an overdose of paracetamol a couple of hours ago. He texted his…

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