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Ep 292 – Leadership, Culture and Psychological Safety in Pre-Hospital Care with Anna Dobbie at Trauma 2030 Recorded at Trauma 2030 at the Royal College of Surgeons in London, the conversation explores what it means to lead exceptional teams in one of the most high-pressure areas of emergency medicine. Anna reflects on six years as Clinical Lead for London HEMS, sharing lessons on leadership, culture, psychological safety, difficult conversations, managing strong personalities, and supporting clinicians to do their best work.

#FOAMed #Emergency Medicine #podcast

Ep 287 – Damage Control Pre-hospital Care with Harriet Tucker at Trauma 2030 Recorded at Trauma 2030 at the Royal College of Surgeons, this episode explores a shift in mindset in pre-hospital trauma care, away from maximal intervention on scene and towards rapid recognition of the patient who cannot be fixed pre-hospital....

#FOAMed #Emergency Medicine #podcast

In this episode, recorded at Trauma 2030 at the Royal College of Surgeons, I sit down with one of St Emlyn's own, Rich Carden, former emergency physician, now intensive care trainee and PhD graduate in trauma sciences — to explore what shock actually means beyond the blood pressure reading.

It is tempting to think that expertise comes from accumulating enough facts, passing enough exams or simply spending 10,000 hours at work. In this episode, Iain Beardsell is joined by emergency physician, intensivist and medical educator Sara Crager to explore why expertise is less about how much we know and more about how we think.

St Emlyn's practical guide to ketamine use as a Trauma Team Leader, including analgesia, procedural sedation, delayed sequence induction, dosing and monitoring. #FOAMed

#pc1 #rp4 #SLO3 #SLO4 #FOAMed

Great review from Stevan. Emergency medicine clinicians are increasingly asked to balance brutal realities with hope for a better future. Drawing on the Stockdale paradox, NHS Staff Survey data, moral injury research and personal experience, this reflective article explores burnout, leadership, crowding and why surviving difficult systems depends not only on resilience, but on having colleagues who have our back.

#SLO10 #SLO11 #SLO9

Struggling with vascular access in trauma? Practical tips on IO access, central lines, external jugular access and rapid alternatives for trauma resuscitation.

#FOAMed #Medical education #rp4

Medical boarding extracts a crowding tax in deaths, delays and bed-days. New research quantifies it, and suggests it is fixable from within.

#SLO12 #SLO7 #SLO8

We’ve built a simple RCEM syllabus self-assessment tool based on the RCEM clinical syllabus to help emergency clinicians reflect on their strengths, identify development needs, and map their current learning profile. Designed for trainees, consultants and educators in emergency medicine, this interactive radar tool supports reflective practice, CPD and professional development.

#SLO11 #SLO9

We’ve built a simple SLO self-assessment tool based on the 12 RCEM Specialty Learning Outcomes in the RCEM curriculum. Designed for trainees, consultants and educators in emergency medicine, this reflective tool helps clinicians visualise strengths, development needs and their overall training profile using an interactive radar chart. It's not an RCEM product but is based on the RCEM curriculum.

#SLO11 #SLO9

What does excellence in emergency medicine really look like? Less heroics, more reliability, self-awareness, teamwork and doing the basics well. From @dftb26 in Glasgow

#SLO12 #SLO2 #SLO5 #SLO7 #SLO8

How should we resuscitate patients with septic shock in the emergency department? It remains one of the most controversial questions in emergency medicine and critical care. For years, clinicians have debated whether early aggressive fluid resuscitation should remain the cornerstone of sepsis management, or whether earlier vasopressor use might offer a safer and more effective approach. Presented this week at Critical Care Reviews 2026 and simultaneously published in the New England Journal of Medicine, the ARISE-FLUIDS trial is one of the largest randomised studies to compare early vasopressors and restricted fluids against a more traditional fluid-based resuscitation strategy in septic shock. The results are important, thought-provoking and, perhaps surprisingly, reassuring for clinicians on both sides of the debate.

#gpc6 #gpc9 #SLO2 #SLO3 #SLO7

TTL tips 14: Should I CTA this limb injury? Arterial injuries can be easy to miss. Learn how trauma team leaders recognise hard and soft signs of vascular injury, identify high-risk injury patterns and expedite limb-saving care.... https://www.stemlynsblog.org/ttl-tips-14-should-i-cta-this-limb-injury/

#ACP1 #CAP6 #ELS12 #els15 #FOAMed #Medical education #rp4

ICEM 2026 Hamburg: A Festival of Emergency Medicine ICEM 2026 in Hamburg brought together more than 3,300 emergency clinicians from around the world. Beyond an excellent scientific programme, the conference fostered connection, collaboration and advocacy. Key themes included crowding, workforce challenges, emergency medicine specialty recognition and the importance of speaking up for patients.... https://www.stemlynsblog.org/icem-2026-hamburg-a-festival-of-emergency-medicine/

TTL Tips 13: Set your team specific time goals TTL Tips 13 Managing time. Effective trauma team leaders don't just manage tasks, they manage time. Learn how clear time targets improve teamwork, tempo and patient flow during trauma resuscitation.... https://www.stemlynsblog.org/ttl-tips-13-set-your-team-specific-time-goals/

#ACP1 #CAP18 #ELS12 #rp4

What does a good emergency physician look like? What makes an excellent emergency physician? Is it knowledge, technical skill or diagnostic brilliance? Drawing on research, personal experience and lessons from a career in emergency medicine, we explore the qualities that truly define clinical excellence....

#SLO10 #SLO11 #SLO12 #SLO9

Pre-hospital acute behavioural disturbance, a guest post by Jack Lyon. What does the evidence say about Ketamine and other drugs. #FOAMed

#prehospital #toxicology #FOAMed

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