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.…

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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.…

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PHEM Trauma

Your receive a pre-alert call from the air ambulance team who are bringing a 32-year-old male who has sustained a single stab wound to the epigastrium whilst outside a pub…

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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…

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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…

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DNA CPR in the ED

DNA CPR or “do not attempt resuscitation” decisions are confusing to many. If discussed sensitively and correctly, they make a huge huge huge immeasurable difference to the hospital stay of the patien…

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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 …

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Will you look at this ECG for me?

You are handed the ECG of a lady with known alcohol excess who has presented with at least 48 hours of vomiting. The ECG reveals one of her blood tests may be critical – but which one?…

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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…

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