DFTB. The procedure paradox update. St Emlyn's with video from @dftbubbles
More on what to do when procedures go wrong. #FOAMed #FOAMped #stemlyns #Virchester
#dftb20 #dftb19 www.stemlynsblog.org/how-it-felt-the-procedur...
DFTB. The procedure paradox update. St Emlyn's with video from @dftbubbles
More on what to do when procedures go wrong. #FOAMed #FOAMped #stemlyns #Virchester
#dftb20 #dftb19 www.stemlynsblog.org/how-it-felt-the-procedur...
This is the blog that supports the first half of my talk at the @DFTBubbles conference in June 2019 #dftb19
More to come on when procedures go wrong.
Interested to know if others feel the paradox too?
#FOAMed #ProcedureParadox
That was so inspiring from Amani
There is a lot of hope here, but also much that we have to help solve the current knife crime problems.
#DFTB19
Standing ovation here
Big impact this year when daughter’s friend murdered. A huge tragedy across so many people. The repercussions are huge
Really important lecture at #DFTB19 challenging assumptions and stereotypes of knife crime, race, sexual orientation, change and hope....
as my feeling is that superconductors are often formed/identified through their apparent independence from the traditional power base organisations #dftb19 @helenbevan
Does @helenbevan think that Superconnectors can be manipulated in the way that seems to be suggested #DFTB19
This is the WHO document on emergency and trauma care that @RCEMpresident referred to at #DFTB19
Well worth a read
https://www.who.int/emergencycare/global-initiative/en/
What a great talk by @EBMgoneWILD at #DFTB19
#FOAMed
Too engaging to live tweet. Just had to listen
Wilderness med tips - loads of them! One I will take forward is the importance of carbs to treat hypothermia.
Strongly recommend his fab site here.
https://ebmgonewild.com/
And in that order too. Can’t work with team or sort environment if not in control of self.
If you cannot control self then hand over task to someone else (if possible).
#DFTB19 #proceduralparadox
There is a procedural paradox between clinicians and patients
That paradox is OK, and arguably a really good thing
Everhyone has a plan until it goes wrong. use yourself, team and environment to get back on track
#DFTB19 #proceduralparadox
Is the paradox real though? Maybe it’s a great thing. My meeting with a psychologist provided a few surprises.
Who would you want to be there to treat you or your family? An enthusiast might be what you want and need.
#DFTB19 #proceduralparadox
SELF
Many ways - but there is always time to pause. Consider focused breathing technique to regain technique.
#DFTB19 #proceduralparadox
TEAM
Cognitively offload as much as you can to the team around you. Trust your juniors and your nurses.
#DFTB19 #proceduralparadox
If you feel like you’re losing control then think about how to get control of 3 things
Yourself
The Team
The Environment
#DFTB19 #proceduralparadox
HT @cliffreid
Everyone has a procedure plan until it starts to go wrong.
As Mike Tyson said - everyone has a plan until you’re punched in the face. It’s easy to lose control.
#DFTB19 #proceduralparadox
every procedure.
Either the patient needs it
OR
You want to do it.
These HAVE to align
#DFTB19 #proceduralparadox
Let’s think about how differently we feel about procedures.
Our perspectives are arguably very different.
HT to @psirides
for the origin of this slide.
#DFTB19 #proceduralparadox
Arguably a lot of PEM involves inflicting distressing procedures on our patients. We need to be as good as we can be at this.
#DFTB19 #proceduralparadox
But maybe you’re like me and you actually look forward to procedures in PEM and EM. Even when they are painful and distressing!
Does that not sound a bit odd, a bit of a paradox?
#DFTB19 #proceduralparadox
You might think that you become like Spock. Unemotional and analytical. Plan for the event ahead and share your mental model in a dispassionate and neutral manner.
….but are you really?
#DFTB19 #proceduralparadox
Delighted to be at #DFTB19 talking on procedures from the operator perspective.
Let’s think about what it feels like to be a proceduralist in PEM and EM
#DFTB19 #proceduralparadox
Personal Learning Networks mentioned by @gracie_leo at #DFTB19 @DFTBubbles
Here’s a bit of mine (currently incomplete but you get the idea).
great to hear @gracie_leo on how a non-standard career path is incredibly rewarding. Links through #FOAMed and #DFTB19 bring rewards beyond what traditional pathways can achieve.
Virtual reality use in CPR training to allow visualisation and different perspectives to be developed.
#DFTB19 @Camillabirgitte
Actions of participant links into VR environment 😮
Better version here :-)
#DFTB19
How to ask a conference question and why it matters
www.stemlynsblog.org/captain-question-strikes...
So looking forward to this session.
#@gracie_leo whom I know well and is fabulous
@Camillabirgitte who I know a little and is becoming a real leader in #meded and #simulation
@fakethom whom I don’t know yet, but who is a hero to all at @stemlyns
#DFTB19
Talking about Dr Chris Day case at #DFTB19
@54kdoctors @DFTBubbles
Worth a read around whistleblowing in the UK.
54000doctors.org/thecase/1-intro-and-how-...
