In May 2021, as we emerged from the second wave of Covid in the UK, we felt the time was right to make a change. Covid had highlighted significant racial health inequalities.…
Migration Migraine
An asylum seeker presents to the ED with a chronic headache prompting questions of finance, logistics and follow up from the staff.…
Child Abuse – PEM Induction
The dark side of PEM, and what should also be on your differential diagnosis for any patient you are seeing is: “was this inflicted” and “is there something more?”…
Burnt out
Burnout is increasing – but is it what you think?…
Bullying in the ED
Bullying is something that an unacceptably high number of healthcare workers will experience. Despite priding itself in being a friendly specialty with a flattened hierarchy, those working in emergenc…
Complaining about Complaints
Complaints are unfortunately common – but how do you reply to them?…
Combatting the Crowd
Research has shown that overcrowded EDs are less safe for the patients they care for.…
TERN Top Papers September 2021
TERN Top Papers for September 2021. This month’s topic is cardiac arrest…
Supporting Overseas Doctors
Are you supporting your overseas team as much as you could? Inspired by the RCEMLearning blog, here are some questions.…
Burnout
Burnout is a specific term used to describe one aspect of mental health. Much research has been done on the mental health and wellbeing of emergency teams.…
Burn-ED
I didn’t realise I was burned out until I was properly scorched. I’d been close before, but thought I was doing ok this time.…
Some are more equal than others
Are inequalities part of our every day work, and what can we do about them?…
Acting like a Boss
So you are thinking of acting up? CONGRATULATIONS – it means the end of your training is in sight. According to the RCEM guidance, you would need to have passed FRCEM and be in the final year of…
Fishing for Vandals
This morning I had a phone call from the police. He said that last night a man was filmed on CCTV smashing the windows of two police cars parked outside the local police station…
Hypnosis and EM
If we told you we knew of a medical practice that’s been around since the 18th century, with a strong evidence base, that can be utilised by any emergency physician, for the majority of patients (and …
Health Inequalities in the ED
Inequalities in health are nothing new… Whilst many things have improved with time, the COVID-19 pandemic has thrown some of the most stark differences in to light.…
Supporting Overseas Doctors
There are many components of looking after overseas doctors. Many of them are intuitive and seem common sense, but our experience suggests the basics are often done poorly. We define an overseas docto…
Holiday at Home
Lockdown. It’s looking likely to be extended for a while, and travel is looking less possible. Despite that, taking annual leave and having a rest is really important. But how can you occupy yourselve…
The sick reattender…and they were in your department 3 days ago
You have just been informed that there is a patient in Resus who has a subdural haematoma…
Can COVID Change our EDs for the Better?
Since February 2020, the UK has seen over 145,000 hospital admissions with COVID-19 and over 42,000 deaths. To say this pandemic has reeked havoc on the NHS is an understatement.…