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 […]
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 […]
I wrote a blog for St.Emlyn’s… “Purposefully Practicing for COVID-19”
I wrote a blog post for the first time in ages… and managed to get it published on the St.Emlyn’s blog. Huge thanks to Prof Simon Carley for allowing me to pitch the idea. Check it out here. Robbie Ponder_Med PS I’m planning to do a podcast version of the blog in the next week or […]
Journal Club: ‘Changes in Medical Errors after Implementation of a Handoff (Handover) Program’
The ED is usually the only part of the hospital that has multiple doctors and nurses working at full speed 24 hours/day. A night shift as an ED registrar rarely allows for a wink of sleep, and we are constantly chopping and changing between day and evening shifts when not on night duty, punishing our bodies. Finishing work on […]
