Breaking down the takedown

A patient with acute behavioural disturbance is proving very hard to manage, you need to gain control but by what means and what powers do you have to achieve this?…

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Migration Migraine

An asylum seeker presents to the Emergency Department with a chronic headache prompting questions of finance, logistics and follow up from the staff.…

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Decision Making in Paeds

EM physicians need to be decision makers, quick thinkers and risk balancers. This is what we are good at. In fact, many will tell you that the purpose of the PEM rotation is to learn to spot the sick …

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Situational Awareness in the ED

Do you know what is going on with you, and around you? Have you been in a situation where there are nine poorly patients in the resuscitation room, and you are the only Clinician looking after them?…

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I’m not burnt out, I’m just tired

Having successfully landed an ST4 training post, I start my first job in a small, yet busy, rural ED in Merseyside. I am excited and enthusiastic about this new training job and I enjoy exchanging sto…

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Look in the Mirror, What Do You See

As many of us are preparing our portfolios for ARCP or revalidation, RCEM’s Head of e-learning, Chris Walsh, talks us through why reflection is at the core of our learning.…

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The Rules of The House of God

In an era of increasing bureaucracy, never ending targets, and spiralling demand on a background of chronic underfunding, the prevailing cynicism of the medical profession might be understood…

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Time Management

Most of the resources available on time management are written for administrators who need to learn to inbox zero” and to say no…

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Patient Handover

For those of you who werent able to attend and for those of you who want to listen again to some of the great talks, this month well be bringing you some of the superb plenary sessions on the podcast…

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