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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.
It can be useful to have a structure to our decision making whilst also being aware of how we think.
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?
Are you supporting your overseas team as much as you could? Inspired by the RCEMLearning blog, here are some questions.
DNA CPR confuses many but is a very important area to get right.
This blog will serve to explore what we can do, within ED, to help ensure good patient flow, reduce overcrowding and improve patient experience.
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.
It can be easy to be overwhelmed initially by the fact that you have now become the clinician who the buck stops with
A 65-year-old male presents to the emergency department by ambulance with an episode of collapse.
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.
This session covers the principal modalities used in pre-hospital communication.
This module covers the principal modalities used in pre-hospital communication.
This was originally published as part of the medical student iBook. We’ve reproduced it here with some additions as we think it’s great, and as much as this is written from a medical student perspective, it could be a new FY2 or a new nurse - or an old hand. 
The legal aspects of Emergency Medicine can be difficult and often a trainee spends less time reading about these, unless a specific situation arises in work.
Let’s Talk About Risk
A 25-year-old male patient presents to the emergency department with a history of nosebleeds when he presses his forehead.