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 […]
Archives for June 2020
Pilot sim feedback #3: Trauma Call
Here is the write-up of our latest in situ sim. Along with the human factors feedback from our colleagues in aviation (which you can find at the end of the post), I’ve included the “technical” feedback from myself and two of my EM consultant colleagues as I thought it might be of interest. Scenario Young […]
Capt Dave Fielding: The importance of “readback”
“Communication is not like a conveyor belt where the meaning is transferred from one person to another arriving – and being interpreted – exactly the same way it was sent” Redding and Sincoff (1984) Over the course of the simulation sessions we have observed, the biggest thing that has struck Alex & I has been […]
Pilot sim feedback #2: “Pressure-test your decision-making”
Last week we my department ran another in-situ sim. It was quite a challenging one from a technical point of view. 62 year old BIBA looking unwell Paramedics hand over he was found on a park bench, blood around his mouth, GCS 13, HR 110, couldn’t get a BP, patient very unwell/periarrest A-E assessment done […]
PonderMed #20: Two pilots, one doctor
Captain Dave Fielding and Captain Alexander Jolly are commercial airline pilots. I met them through Project Wingman, a pandemic-induced collaboration between the UK aviation industry and the NHS. We met up over a coffee in the Whittington Hospital “First Class Lounge” and compared notes on our respective professions. In particular we discussed human factors and […]
A pilot watched us do a sim…
For me, a highlight of working through this pandemic has been the “First Class Lounge” laid on by Project Wingman. It’s a lovely little space set up at the back of our hospital canteen full of comfortable seating, ambient music, and friendly airline crew in full uniform serving the coffees. Initially, I assumed the staff must […]
PonderMed Update June 2020
Friends, Here’s what I’ve cooked up in PonderMed Studios this past month… Simon Fleming is an orthopaedic registrar, #MedEd PhD, and brain behind the #HammerItOut campaign. In this episode we take a deep dive into his work at the recently “hibernated” London Nightingale Hospital, with a focus on how the faculty tried to build the right “culture” (released 8/5/20). In […]
