Robin mitchell fellowship: iceland part 4
Edinburgh Emergency Medicine
by Sara Robinson
2y ago
An Insight into Iceland’s Emergency Medicine and Pre-Hospital Care Systems Dr Ross Archibald, ST6 Emergency Medicine, South East Scotland Deanery The last part of my Fellowship was scheduled to take place in the north of Iceland in Akureyri, the largest town outside the populous south west of the country and only 100km away from the Arctic Circle. From Reykjavík it’s a 400km drive on a stretch of Route 1, the ring road which runs all the way round the island. As always here, there is no shortage of stunning mountainous and coastal scenery to take in on the way! Once I had arrived, my ..read more
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Robin Mitchell Fellowship: Iceland Part 3
Edinburgh Emergency Medicine
by Sara Robinson
2y ago
An Insight into Iceland’s Emergency Medicine and Pre-Hospital Care Systems Dr Ross Archibald, ST6 Emergency Medicine, South East Scotland Deanery This week began with an opportunity I couldn’t pass up. The Icelandic Coast Guard had scheduled a helicopter mission to the far east of the country in order to undertake boat and water rescue exercises with one of the coast guard vessels. I was asked if I’d like to go along as the doctor just in case anything happened(!) The journey was one I won’t forget – a 1000km round trip across the centre of the country, passing over breathtaking scen ..read more
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Robin Mitchell Fellowship: Iceland Part 2
Edinburgh Emergency Medicine
by Sara Robinson
2y ago
An insight into Iceland’s Emergency Medicine and Pre-Hospital Care systems Dr Ross Archibald, ST6 Emergency Medicine, South East Scotland Deanery This Fellowship has allowed me to obtain a timely insight into Iceland’s pre-hospital care system, which is undergoing development at the same time that Scotland’s trauma and pre-hospital care systems continue to expand and develop. Like in Scotland, the isolated communities, challenging geography and harsh weather conditions of Iceland mean that a robust pre-hospital and retrieval network is a vital component of the heath service. The second week of ..read more
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Robin Mitchell Fellowship: A visit to Iceland
Edinburgh Emergency Medicine
by Sara Robinson
2y ago
An insight into Iceland’s Emergency Medicine and Pre-Hospital Care systems Dr Ross Archibald, ST6 Emergency Medicine, South East Scotland Deanery I have been very fortunate to be able to spend the final few weeks of my emergency medicine training in Iceland, thanks to the Robin Mitchell Fellowship. I was awarded the Fellowship last year, giving me an invaluable opportunity to explore Iceland’s emergency medicine (EM) and pre-hospital care systems. I hope you enjoy reading about my observations, experiences and reflections during this unforgettable attachment. The Robin Mitchell Fellowship was ..read more
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What's hot about hot debriefs?
Edinburgh Emergency Medicine
by Craig Walker
3y ago
What’s So Hot about Hot Debriefs? “Hot Debriefs” are interactive, structured team dialogues that take place either immediately or very shortly after a clinical case. Our simple “STOP5: STOP for 5 Minutes” Hot Debrief framework was introduced a few years ago (you can read our previous blog post here: bit.ly/STOP5EEM). It continues to propagate to other departments and workplace settings around the world. Why? STOP5 is • Quick; • Simple; • Can be facilitated by any member of the team; • Has a self-explanatory framework & poster guide; • Includes opportunities to record action plans & lea ..read more
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'What matters to you?' #WMTY20
Edinburgh Emergency Medicine
by Sara Robinson
4y ago
“It matters to me that I have a way for my voice to be heard even when I find it difficult to communicate due to being unwell, tired, in pain or distressed.” No patient visiting the Emergency Department is having a ‘good day’. We see people when they are at their lowest. We place them in an unfamiliar, bustling environment and we expect them to be able to advocate for themselves. For many people this is an impossible task. So how can we help ensure our patients voice is heard? The Emergency Department at the Royal Infirmary of Edinburgh, independent mental health advocacy organisation AdvoCard ..read more
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“STOP 5: STOP for 5 Minutes” – Our Bespoke Hot Debrief Model
Edinburgh Emergency Medicine
by Craig Walker
5y ago
“Hot Debriefs” are interactive, structured team dialogues that take place either immediately or very shortly after a clinical case. They are designed to help the whole team learn from the experience, reflect on what went well, identify team strengths or difficulties and to consider ways to improve future performance. Over a year ago, we decided to introduce Hot Debriefs into our ED for Resuscitation cases. There was a lack of suitable models in the clinical literature and we found no examples of other departments who performed structured, regular Hot Debriefs for such cases. We therefore set ..read more
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#PODSquad – Part 3
Edinburgh Emergency Medicine
by Dave McKean
5y ago
   In the first 2 parts of this blog we looked at why we were undertaking this project and how we set about doing it. Now, one month after we started, we are in a position to share our early results. This is only the first stage of this journey and it certainly has not been an easy one. On our first day we had the second most attendances we have ever had (only missing the record by a single patient) and without the patience, enthusiasm and support of ..read more
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#PODSquad – Part 2
Edinburgh Emergency Medicine
by Dave McKean
5y ago
   In this part of the blog we aim to describe both how our new system has been designed to work and how we went about introducing this, frankly massive, test-of-change. The primary aim of this test was to reduce time to first assessment but also to improve both staff and patient experience. We had previously had feedback from our patient group and had generated several hundred patient journeys over the preceding twelve months from a new medical student ..read more
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#PODSquad – Part 1
Edinburgh Emergency Medicine
by Dave McKean
5y ago
   Edinburgh Emergency Medicine is currently undergoing a massive change looking at the process by which we receive, assess and manage patients attending our department. Over the next 3 blog posts we will explain the following:Why are we trying this change? And what is #PODSquad?How have we gone about planning for #PODSquadHas it worked?The Emergency Department at the Royal Infirmary of Edinburgh sees between 350 and 430 adult patients per day. Over th ..read more
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