‘My Mental Toughness Manifesto’ Part 2: PRACTICE

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In MMTM Part 1, two-step cognitive appraisals were explained. This process dictates whether one enters a challenged or threatened mindset in the event where an immediate performance is required under acute stress. Feeling challenged, of course, is one of the two chief components of a mentally tough individual. “I am 100% committed” “I feel challenged” In this post, we […]

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 […]

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 […]

An EM Trainee’s Learning Points from ESICM LIVES 2016

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I had the opportunity to attend the European Society of Intensive Care Society (ESICM) annual conference in Milan this month. It was an interesting conference with expert speakers from all over the world of critical care. The conference spanned three days, and all talks were only 15 minutes followed by 2 questions. This post is a summary […]

EMJ Blog – How Junior Doctors Think: A Guide for Reflective Practice

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A very interesting paper has been published in the EMJ recently (June 2016), qualitatively exploring the subject of metacognition in UK-based junior doctors. It’s a must-read. I’ve blogged about it. I’d love to hear reader’s thoughts via the comments section (either on here or the EMJ blog site). The original paper: Clinical reasoning of junior doctors in […]

EMJ blog – ECG Marksmanship: Posterior Wellen’s Syndrome

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You can check out my latest piece for the EMJ blog by clicking here. I take a look at a very interesting EMJ paper published online recently: Driver BE, Shroff GR, Smith S. Posterior reperfusion T-waves: Wellens’ syndrome of the posterior wall. Emerg Med J. 2016 Jul 29. Tellingly, one of the authors is Dr. Smith, author […]