Here is our latest in situ simulation write-up. This was one was done on the paediatric ward. Included is human factors feedback from our aviation colleagues who were present for the sim. SCENARIO 6 month old baby on paediatric ward Becoming increasingly drowsy, ward paediatric doctor alerted by nursing staff Fulminant sepsis secondary to chest […]
Pilot sim feedback #5: Life-threatening asthma
SCENARIO Case was an acute severe/life threatening asthma episode in a young patient. TECHNICAL FEEDBACK FROM DR. ADAM REID (EM CONSULTANT) Hi all, Thanks to those who participated and observed our acute severe asthma sim the other day. Particular thanks to Dr. Lachlan Robinson for stepping up to the plate at the last minute and […]
Pilot sim feedback #4: Propranolol overdose
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 […]
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 […]
