A practical guide to running the Emergency Department floor as EPIC, using a simple structured framework to improve flow, safety, communication and team support throughout your shift.
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 the workplace. But what is it that makes one human-being trust another human-being?
Assess capacity. Prioritise clinical assessment. Detain under Mental Capacity Act if lacking capacity and risk to self. Police Section 136 in ED if need to detain longer.
Burnout is a state of physical, emotional and mental exhaustion caused by prolonged, unmanaged chronic stress, most commonly in an occupational context. Much research has been done on burnout affecting emergency department teams.
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 emergency medicine, too, report experiencing bullying.
The idea of “normalisation of deviance” is the brainchild of an American sociologist, Diane Vaughan, who thought that essentially people become used to accepting deviant behaviour as normal practice, the more it occurs.
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 girlfriend soon after and she called an ambulance.
A male in his twenties presents to the ED complaining of haemoptysis following blunt thoracic trauma in sport. After an abnormal Chest X-Ray, his CT Chest reveals an interesting finding which surprises the Emergency Medicine and Cardiothoracic teams.
Your receive a pre-alert call from the air ambulance team who are bringing a 32-year-old man, who has sustained a single stab wound to the epigastrium whilst outside a pub.
This month, Aintree University Hospital's Director of Communications & ex-journalist Fin McNicol talks to us about how our online interactions may be picked up by the mainstream press and what to do if they are
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 doctors as a doctor who has trained, and probably worked, abroad who is embarking on a new healthcare career in the NHS.
A person's mindset is a very powerful thing. The state in which our mindset is in can have a huge impact on the way we approach tasks and the chances of us completing a task successfully.
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?
An 80-year-old woman arrives after an unwitnessed fall, uninjured but profoundly unwell - dizzy, fatigued, and oliguric. Could this be the tip of a multifactorial medical iceberg?
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.
A 65-year-old male presents to the emergency department by ambulance with an episode of collapse.
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