Resources for ISTC NSOCM students

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This is a post intended for the NSOCM students I presented to last week at the ISTC The title of my session was: ‘Practice, Perform, Process': Strategies for Building Mental Toughness. Here are some of the resources I used to design the session, which I believe will be useful for you guys. Books On Combat: The Psychology and Physiology […]

Assessing Airways in the ED

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I’m an anaesthetic registrar in North East London (@andrewwilko1986). On a daily basis I perform airway assessments. Although not a classic medical school patient examination, it’s an extremely important process. Fortunately it’s very simple, and in this blog I’d like to highlight why it’s important, and some concepts to think about when dealing with a patient that might […]

The ‘Deliberate Practice Mindset’

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Performance improvement is an interest of mine. I have previously blogged and podcasted about the strategies I employed to lift my game (from rock-bottom) when working in an extreme environment – a South African township ED. I first became aware of ‘deliberate practice’ after reading an excellent St. Emlyn’s post last year. I had never encountered […]

Let me see (BOTH) your hands! BVM technique in resus

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Let’s face it – when it comes to riding bicycles, inserting cannulas, tying knots, and even manipulating lingerie, fewer hands is just better, right? Well not so fast. Sometimes it’s preferable to play it safe.  Keep your eyes on the road. Even ride with stabilisers on. This couldn’t apply more when it comes to manual […]

NICE on Bronchiolitis: Less is More!

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As the nights get longer and the weather gets cooler emergency departments across the UK will see an increase in unwell children. The vast majority will have a self-limiting illness and can be safely discharged with appropriate safety netting. The emergency clinician’s role is crucial in identifying the children that require an in-patient stay. Infants with cough, […]

EMJ Blog – Nuances of Neurogenic Shock

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In my latest EMJ blog, I’ve reviewed an interesting recent paper from Taylor et al that explores some of the finer details of neurogenic shock – a rare, but potentially lethal complication of spinal trauma. Click here for the post. Here is the original paper: Presentation of neurogenic shock within the emergency department. Matthew Pritam Taylor, Paul […]