ED Management

How to declare a Major Incident. St.Emlyn’s

Recent attacks in Manchester, London and around the world have heightened our awareness of the possibility of a major incident being declared at any time of day or night. As emergency physicians (and all specialities really) we need to think…
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Self-Rostering and Annualised Hours (or How to Keep Everyone Happy All of the Time). St.Emlyn’s

Introducing self-rostering and annualised hours  Over the last few years, in response to our ever-growing popularity with the public, the number of consultants at the St.Emlyn’s ED in Virchester has significantly grown. This, in turn means that the role of…
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Developing a “Leadership Portfolio” in your ED. St.Emlyn’s

The majority of my “day job” is taken up with being the “Clinical Lead” for University Hospital Southampton Emergency Department (ED). This is one of those job roles in clinical management that is usually ranked alongside “Consultant Liaison for Car…
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Five risks for training in Emergency Medicine. St.Emlyn’s

DISCLAIMER: the below tips are based on my conversations with trainers and trainees. It’s unashamebly anecdotal but I make few apologies for that. I’ve supported emergency medicine trainees from all around the world and a few themes have come through….
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Futureproofing EM: Why your trainees deserve it (and your nation needs it). St.Emlyn’s

  I suspect all Deaneries (locality branches of Health Education England as they are now known) have their traditions and meetings. In the former NW post-graduate deanery we have ours. One of these is Calman day. Until this year it…
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When to withdraw resuscitation in the Emergency Department. St.Emlyn’s with Richard Taylor.

When can and should we withdraw from continuing resuscitation in the ED? The standby phone rings: Post cardiac arrest patient, approximately 50. Intubated, BP 80/40, GCS 3. ETA 5 minutes. You meet the crew in resus and get the story….
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