‘My Mental Toughness Manifesto’ Part 4: PROCESS

passenger-plane-landed-in-hudson-river-136395463010203901-150114153840

Everything in aviation we know because someone somewhere died… We have purchased, at great cost, lessons literally bought with blood… We cannot have the moral failure of forgetting these lessons and have to relearn them.” Sully Sullenberger Pilot of Flight 1549, ‘The Miracle on the Hudson’ All frontline healthcare warriors will bear scars from emotionally […]

‘My Mental Toughness Manifesto’ Part 2: PRACTICE

Screen Shot 2017-03-14 at 20.33.35

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’

Peak-Secrets-from-the-New-Science-of-Expertise

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

nuances-of-neurogenic-shock-graphic

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 […]

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

how-do-junior-doctors-thinkl_-768x432

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

posterior-wellens-syndrome-2

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 […]