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Learning about human factors in the emergency department

Don't Forget the Bubbles

You’re in the paediatric emergency department, typing some notes for the child you’ve just discharged. They’re getting CPR. Then the patient is rapidly moved to the operating theatre. Promoting hot debriefing in an emergency department. Scand J Trauma Resusc Emerg Med. …You burst into resus.

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Awake, and Paralysed: A Never Event

Don't Forget the Bubbles

You are the Paediatric doctor on call and receive a call for an incoming patient to the emergency department. Tragically, several attempts at resuscitation upon arrival at the emergency department were unsuccessful. This is referred to as CPR I nduced C onsciousness ( CPRIC ). His name is Ben. Burgart, A.M.

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Cervical Spine Imaging in Kids – the PECARN rule

Don't Forget the Bubbles

PECARN prediction rule for cervical spine imaging of children presenting to the emergency department with blunt trauma: a multicentre prospective observational study. Children in the validation cohort were admitted to the intensive care unit or operating room less frequently than those in the derivation cohort.

CPR 124
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UK-REBOA on Trial: Innovative or Over-Inflated?

RebelEM

Emergency Department Resuscitative Endovascular Balloon Occlusion of the Aorta in Trauma Patients With Exsanguinating Hemorrhage: The UK-REBOA Randomized Clinical Trial [published online ahead of print, 2023 Oct 12]. The enrolled population was severely injured, with a median ISS of 41, and 23% received CPR.

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Episode 26 – Blunt Cardiac Injury: Emergency Department Diagnosis and Management (Trauma CME)

EB Medicine

This month, after a few months of primarily medical topics, we’re talking trauma, specifically Blunt Cardiac Injury: Emergency Department Diagnosis and Management. The data is strong that in the hands of trained Emergency Clinicians, when parasternal, apical, and subcostal views are obtained, US has an accuracy of 97.5%

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Why the interest in pre-hospital? Why not?!

Mind The Bleep

Im currently in my third year of working in a rural district general hospital Accident and Emergency Department, and one of the things that has struck me most is the use of pre-hospital medicine. Ive always had a keen interest in pre-hospital medicine.

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The ‘Hidden C’

Don't Forget the Bubbles

Introduction: Civility Matters Healthcare environments, particularly emergency departments, are characterised by high levels of Volatility, Uncertainty, Complexity, and Ambiguity ( VUCA ). A third RCT demonstrated that even brief low-level incivility could increase the risk of major error during CPR by up to 66%.