Mardoche Sidor, MD’s Post

The Primary Survey: why do we use it? I teach people how to use this tool to help make sense of patient assessment in a high stress situation. These situations by nature lead to a high cognitive load with responders having to take in a heap of information, process it and make some sharp decisions. That’s why we use a structured approach, Whatever you use (DRABC/A-E) there is always a commonality in what they include. These are generally the issues that will kill a patient first. By placing things into a structure it gives us as responders a psychological “aide memoir” to refer to. The attached research piece took clinicians and asked them to work through several scenarios, some with handbooks and others without, the error rate was significantly reduced in the handbook group. What aid memoirs do you use and how do they work for you? https://lnkd.in/eHVHYHK6 #primarysurvey #medicaltraining #patientsafety #emergencycare Jamie Taylor TInSTR MCoROM Antony L. Paul Mattison Colin Frensham Clare Tidal Training Direct Ltd. Dave Owen BHSc SR.Para jason moore

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🩺 𝗙𝗶𝗻𝗱𝗶𝗻𝗴 𝗮 𝗖𝗹𝗶𝗻𝗶𝗰𝗮𝗹 𝗔𝘁𝘁𝗮𝗰𝗵𝗺𝗲𝗻𝘁 𝗶𝗻 𝘁𝗵𝗲 𝗨𝗞 ▪ What is a Clinical Attachment? ▪ What to expect from a Clinical Attachment ▪ How do I find a Clinical Attachment?

🩺 𝗙𝗶𝗻𝗱𝗶𝗻𝗴 𝗮 𝗖𝗹𝗶𝗻𝗶𝗰𝗮𝗹 𝗔𝘁𝘁𝗮𝗰𝗵𝗺𝗲𝗻𝘁 𝗶𝗻 𝘁𝗵𝗲 𝗨𝗞 ▪ What is a Clinical Attachment? ▪ What to expect from a Clinical Attachment ▪ How do I find a Clinical Attachment?

This is just what we need in the world of medicine.   A brilliant and very moving article about how opening up about the emotional impact of practising medicine helps connection and wellbeing.   I’m sure all of us will read this article and a patient(s) will immediately come to mind.   For me it was a 21-year old with cancer when I was a doctor-in-training, not much older than the patient herself. Towards the end of a very emotional conversation between the consultant and her Dad about reaching the palliative stage, I was horrified to realise that I had tears pouring down my face, tears that I was sure were not allowed, tears that resulted in me discretely leaving the room, head bowed in shame. This was never spoken about – I was just swept up outside the door with a brusque ‘come on, let’s finish the round’, as I desperately looked around for a tissue and tightened my armour.   Another time, another hospital, another consultant, another patient entering the palliative stage. The situation was different in some ways, but similar in that I had built up a relationship with him over the preceding months. I wasn't working when he died, and the consultant subsequently went out of her way to come and find me and speak to me in person, tears were shed and together we spoke about him and the impact of it on us both, and a bit of light penetrated through my armour.   Poles apart.   In the first scenario I felt shame engulfing sadness, and I felt that on my own.   In the second scenario I felt sadness, and we felt that together.   I wouldn’t choose to feel either shame or sadness – both can leave you feeling utterly wretched – but they are a part of life as a human. In my experience, however, shame is the one that can be by far the more pernicious of the two emotions - each time it is left unspoken, it can cause wounds deep within your soul.   Thank you for opening up the conversation Jess Morgan – we need more of this.   It’s also why I strongly believe that doctors should have regular supervision. I have this in coaching, and I know it's well-recognised in other professions such as psychology, psychotherapy and counselling. Surely this would benefit doctors too, particularly so with the inconsistency of teams nowadays? #doctors #nhs #vulnerability #courage

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🩺 𝗙𝗶𝗻𝗱𝗶𝗻𝗴 𝗮 𝗖𝗹𝗶𝗻𝗶𝗰𝗮𝗹 𝗔𝘁𝘁𝗮𝗰𝗵𝗺𝗲𝗻𝘁 𝗶𝗻 𝘁𝗵𝗲 𝗨𝗞 ▪ What is a Clinical Attachment? ▪ What to expect from a Clinical Attachment ▪ How do I find a Clinical Attachment?