Palliative Care in the Emergency Department “Death is often seen as a failure to keep people alive rather than a natural dignified end to life” (1) Coping with death is difficult for anyone, including medical care practitioners. The super-hero mentality (emergency physicians (EP) in particular suffer from this disorder) makes encountering an end-of-life situation confusing,... Continue Reading →

Distraction and Attraction

These are both seemingly straightforward cases. Both trauma related issues and possible complications. It is easy to fall into the trap of trying to refer the patient on to someone else, to make it someone else's problem. But one of the distinguishing features of Emergency Medicine is that we get to solve puzzles and seek that... Continue Reading →

Skills Training

Earlier this year, I had the privilege of attending a Teaching Course in Cape Town, presented by the Teaching CoOpTeam  #TTCCT18. I was introduced to Peyton's Four-Step Approach to Skills Training - of which I am now an avid supporter. This method has been recommended by our surgical colleagues for the longest time now .... Having... Continue Reading →

Inside the bubble of #BadEMFest18

To say that last week's #BadEMFest18 changed my life would be really dramatic. But sometimes I am dramatic... #BadEMFest18 was the most amazing collection of incredible experiences I could ever have asked for in short 4 days. From the caliber of speakers, topics, people and interactions to the food, glamping set up and programme, this... Continue Reading →

The Interconnectedness of things

Great article on an approach to palliative and end-of-life care. Shared at #BadEMFest18 The 5 minute approach for Goals of Care in the ED from David Wang's article. Another resource (with accompanying podcast) for diving straight into this topic. This is a great article on end of life care in the ICU setting.    ... Continue Reading →

Pre-hospital ultrasound

So I have always been the gadget guy.  Always trying to have the latest piece of tech to make life easier, the latest iPhone and the tools to make them all talk to each other. I don’t get why everyone isn’t living in the cloud?? When I started seeing ultrasound machines in emergency departments, it... Continue Reading →

Conflict and confrontations

Conflict in the health care industry is inevitable. Working in a field with so many inter-personal interactions and differing opinions; dissent is to be expected. In a crisis orientated field such emergency medicine, where time-urgency is the norm, this is especially true (1). The clinical condition of the patient is a primary source of stress... Continue Reading →

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