At 10am every morning at Bankstown base, our team discusses cases over coffee. This process is called “Coffee and Cases” (C+C). This blog post is an accompaniment to a presentation at the August ’23 GSA HEMS Clinical Governance Day. The purpose of the talk was to update the service on the Quality Improvement Project I […]
Reflecting on two months as a Sydney HEMS registrar
*Originally posted on the Sydney HEMS blog Uniform fitted. Induction complete. 10-mission milestone reached. It has been a learning frenzy. I’m a UK-trained emergency physician, and am two months into my year as a Sydney HEMS registrar. Some of my early reflections on the experience have had time to crystallise into bloggable form… I’m one […]
Improving the Educational Ecosystem at The Royal London Hospital: A Quality Improvement Project to Transform “Educational Development Time” (Poster)
Hi all,I thought I would share a poster of a QI project I completed (with the help of my QIP team) at the Royal London Hospital earlier this year. It is currently on display at the RCEM Annual Scientific Conference. If you would like to me to send you a pdf of the poster (the […]
PonderMed #21: Two pilots, one doctor… at the Grand Round
Captain Alexander Jolly and Captain Dave Fielding are commercial airline pilots. I met them through Project Wingman, a pandemic-induced collaboration between the UK aviation industry and the NHS. For the last few months they (along with a few of their colleagues) have been helping us train. Specifically, they are debriefing and writing up human factors performances (overseen […]
Pilot sim #6 feedback: The septic child
Here is our latest in situ simulation write-up. This was one was done on the paediatric ward. Included is human factors feedback from our aviation colleagues who were present for the sim. SCENARIO 6 month old baby on paediatric ward Becoming increasingly drowsy, ward paediatric doctor alerted by nursing staff Fulminant sepsis secondary to chest […]
Pilot sim feedback #5: Life-threatening asthma
SCENARIO Case was an acute severe/life threatening asthma episode in a young patient. TECHNICAL FEEDBACK FROM DR. ADAM REID (EM CONSULTANT) Hi all, Thanks to those who participated and observed our acute severe asthma sim the other day. Particular thanks to Dr. Lachlan Robinson for stepping up to the plate at the last minute and […]
Pilot sim feedback #4: Propranolol overdose
Here is the write up from our latest (very challenging) in situ sim. It includes feedback on human factors from our colleagues in aviation. SCENARIO 17-year-old girl with a background of anxiety. Deliberate OD of propranolol (unknown quantity). Hysterical mother in attendance (superb performance from Dr. Lucy Parker!) Initial A-E assessment done. Patient bradycardic and […]