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. Your fifty-year-old man was seen to collapse on the street and bystander CPR commenced. Paramedics […]
Somewhere in the ITV archives is television footage of me, on my first day in the PED as an ST3 doctor, assessing a child with a scald in resus. I knew before I started my six month PEM rotation that the crew weren’t quite finished their filming commitments but at no point had I considered that, […]
Firstly apologies for the slow updates of late. I am ‘away from the desk’ so to speak, having a lovely time and all, but there are certain restrictions on internet access! Anyway……..the GMC guidance has arrived. Most if not all doctors should have received an email from the GMC today regarding an update to General […]
Smart phones and their associated stand-alone software applications, or apps, have become ubiquitous within the field of Medicine and perhaps, nowhere more so than the forward-thinking, technology embracing, occasionally geeky world of Emergency Medicine. A survey in 2010 showed that 99% of medical staff had a mobile phone, and 81% of them used a ‘smart’ […]
A clinical case of overdose who declines treatment. How to assess capacity and interpret the Mental Capacity Act in the emergency setting.