The St.Emlyn’s Podcast

著者： St Emlyn’s Blog and Podcast
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  • A UK based Emergency Medicine podcast for anyone who works in emergency care. The St Emlyn ’s team are all passionate educators and clinicians who strive to bring you the best evidence based education. Our four pillars of learning are evidence-based medicine, clinical excellence, personal development and the philosophical overview of emergency care. We have a strong academic faculty and reputation for high quality education presented through multimedia platforms and articles. St Emlyn’s is a name given to a fictionalised emergency care system. This online clinical space is designed to allow clinical care to be discussed without compromising the safety or confidentiality of patients or clinicians.
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あらすじ・解説

A UK based Emergency Medicine podcast for anyone who works in emergency care. The St Emlyn ’s team are all passionate educators and clinicians who strive to bring you the best evidence based education. Our four pillars of learning are evidence-based medicine, clinical excellence, personal development and the philosophical overview of emergency care. We have a strong academic faculty and reputation for high quality education presented through multimedia platforms and articles. St Emlyn’s is a name given to a fictionalised emergency care system. This online clinical space is designed to allow clinical care to be discussed without compromising the safety or confidentiality of patients or clinicians.
Attribution-NonCommercial-ShareAlike CC BY-NC-SA
身体的病い・疾患 衛生・健康的な生活 科学
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エピソード
  • Ep 247 - August 2024 Round-Up - Goldilocks Moments, Nasal Analgesia, and Public Health in the ED

    Ep 247 - August 2024 Round-Up - Goldilocks Moments, Nasal Analgesia, and Public Health in the ED
    2024/10/30

    In this episode of the St. Emlyn's podcast, hosts Iain Beardsell and Simon Carley share their insights from recent conferences, including Gateshead's RCEM scientific conference, Tactical Trauma 24 in Sweden, and the Premier Conference.

    They explore 'Goldilocks moments' for executing life-saving procedures in critical care, emphasizing optimal timing for interventions like thoracotomies. The episode also discusses innovative training methods like shadowboxing to enhance decision-making in high-stress medical scenarios. In addition, they review a significant trial on smoking cessation in emergency departments, highlighting its potential role in broader public health initiatives, including sexual health and HIV screening.

    Discussions also cover various pain management strategies, such as the use of intranasal vs. intravenous Ketorolac for renal colic. The hosts critique the traditional peer review process in medical research and advocate for open peer review to support equitable and accessible scientific publishing.

    00:00 Introduction and Catching Up

    02:07 The Goldilocks Moment in Critical Care

    05:25 Training and Decision-Making in Emergency Procedures

    07:23 Smoking Cessation in Emergency Departments

    10:07 Challenges in Implementing Preventive Health Strategies

    10:38 Successful Public Health Projects in Emergency Medicine

    11:19 Exploring Alternative Interventions in Emergency Departments

    11:52 Highlights from the Premier Conference

    12:54 Intranasal Ketorolac for Pain Management

    15:46 The Future of Peer Review in Medical Research

    20:09 Concluding Thoughts and Upcoming Content
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    21 分
  • Ep 246 - Simulation for Elite Team Performance with Andrew Petrosoniak at Tactical Trauma 2024

    Ep 246 - Simulation for Elite Team Performance with Andrew Petrosoniak at Tactical Trauma 2024
    2024/10/23

    In this episode, recorded at Tactical Trauma 2024, Andrew Petrosoniak discusses real-world experiences in trauma care, and the innovative use of simulation to resolve systematic issues in blood delivery and overall trauma resuscitation protocols.

    Key takeaways include the concept of intelligent failure, reducing cognitive overload for medical staff, and the creation of efficient medical environments. Moreover, the episode delves into the significant improvements achieved through simulation, such as a 50% reduction in blood delivery times, and the integration of performance data to enhance CPR and clinical space design. Emphasizing the importance of using data to drive improvements, the conversation explores the implementation of roles like a CPR coach and the scalable application of these practices across individual, team, and systemic levels.

    Listeners are encouraged to view failures constructively and leverage simulations and data for better patient outcomes and team performance.

    00:00 Introduction to Simulation in Emergency Medicine

    01:05 A Real-Life Trauma Case

    02:18 Identifying Systemic Issues

    02:46 Implementing and Testing Solutions

    05:45 The Concept of Intelligent Failure

    09:41 Scaling and Impact of Simulation

    10:22 The Power of Simulation in Experimentation

    10:56 Data Integration in Healthcare and Sports

    11:29 Evaluating CPR Quality Through Simulation

    12:14 Using Data to Improve Clinical Performance

    13:47 Designing Clinical Spaces with Simulation Data

    15:28 Scaling Impact with Simulation

    18:02 Efficient Team Communication in Trauma Bays

    19:04 Broadcasting and Recording Simulations for Education

    19:39 Conclusion and Future Directions

    The Speaker

    Dr. Andrew Petrosoniak is an emergency physician and trauma team leader at St. Michael’s Hospital and an Assistant Professor in the Department of Medicine at the University of Toronto. He has completed a Master of Science in medical education where he focused on the use of in situ simulation (practice in the actual workplace) in procedural skill acquisition.

    Andrew’s field of research includes in situ simulation and simulation-based technical skill acquisition. His work focuses on usability testing and the identification of personnel- and systems-based safety threats within acute care medicine. He is the principal investigator of the TRUST study (Trauma Resuscitation Using in Situ simulation for Team Training) that includes a partnership with human factors experts to evaluate systems and processes during high-stakes trauma simulations.
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    20 分
  • Ep 245 - Leading through failure with Kevin Cyr at Tactical Trauma 2024

    Ep 245 - Leading through failure with Kevin Cyr at Tactical Trauma 2024
    2024/10/18
    Recorded at Tactical Trauma 2024, in this episode of the St. Emlyn’s podcast, Iain Beardsell and Liz Crowe sit down with Kevin Cyr, commander of a SWAT-like unit in the Royal Canadian Mounted Police, to discuss leadership, failure, and resilience in high-stakes environments. Kevin shares the powerful story of a tragic hostage situation that resulted in the unintended death of the hostage by the police, a failure of the highest order. Through this tragedy, Kevin highlights the importance of visible leadership, team resilience, and learning from failure in both law enforcement and healthcare settings. Key Themes: 1. Handling Failure in High-Pressure Situations: Kevin discusses a significant incident where a hostage was killed by his SWAT team during a rescue attempt, describing it as the “epitome of failure.” This tragic event not only made national news but left an indelible mark on the team. The podcast dives into the lessons learned from this event and how the team used it to drive growth and improvement. In healthcare, much like in policing, failure can feel devastating and highly public, but it’s also a critical aspect of development for teams and leaders. 2. Visible Leadership and Unwavering Support: In the aftermath of a traumatic event, Kevin emphasizes the importance of leadership being present and supportive. He recounts how he and his commanding officer went to visit the officers involved in the shooting immediately after the event, providing what he calls “unwavering support.” In healthcare, leaders should adopt similar strategies, offering visible and sustained support to their teams in the immediate aftermath of difficult cases. 3. Sustained Support Over Time: While initial support following a traumatic event is crucial, Kevin points out that it’s often after 48 hours, or even weeks later, that people start feeling isolated. Leaders must continue to check in with their teams weeks after the event, when the immediate crisis may have passed, but the emotional toll is still present. This ongoing visibility and emotional support are key to retaining staff and ensuring their well-being in both law enforcement and healthcare. 4. Debriefing to Learn, Not to Blame: Kevin advocates for a debriefing process that focuses on learning from failure rather than assigning blame. After their tragic event, his team didn’t just move on; they dissected the event to understand what went wrong and how to prevent similar failures in the future. In healthcare, this process is equally valuable—debriefs should aim to identify learning opportunities and reinforce positive actions, not to point fingers. 5. The Role of Organizational Culture: Kevin touches on how organizational apathy, or a lack of emotional and psychological support, can cause more damage than the actual traumatic event itself. He highlights the importance of developing a high-trust environment where team members feel safe to express vulnerability. In healthcare, fostering a culture of open communication and mutual support is essential to prevent burnout and moral injury. 6. The Value of Failure in Team Growth: One of the most profound insights Kevin shares is the idea that failure is a necessary part of growth. Three years after their tragic hostage situation, his team was called to a similar event, but this time they were successful in rescuing both hostages. Kevin attributes this success directly to the lessons learned from their earlier failure, emphasizing that failure, when handled correctly, can lead to transformational change. 7. Selection and Resilience in High-Performance Teams: Kevin discusses the importance of selecting team members with high emotional intelligence and the humility to ask for help when needed. He explains how his team differentiates between rank and role, giving autonomy to those with the most subject matter expertise, regardless of their rank. In healthcare, this is a critical point—leaders must recognize that true leadership isn’t just about authority, but about empowering others to take charge when appropriate. 8. Managing Expectations and Mental Health: The episode also delves into how individuals in high-stakes roles, whether in policing or healthcare, cope with the psychological aftermath of traumatic events. Kevin explains how his team has shifted from the belief that emotional support is unnecessary to recognizing the value of helping team members process their experiences in a healthy way. This parallels the increasing focus in healthcare on preventing burnout and ensuring emotional well-being through proactive support. Key Takeaways: - Failure is Inevitable: In high-stakes environments like policing and healthcare, failure will happen. What matters is how teams respond to failure—learning from it, growing stronger, and preventing future mistakes. Leadership Requires Visibility: Leaders must be present, especially in the aftermath of failure. Showing unwavering support and maintaining ...
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    34 分

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