Tanzanian emergency medicine exchange

Dr Ellen Weber talks to Dr Renatus Tarimo and Dr Shahzma Suleman from Dar es Salaam in Tanzania. This interview takes place as they complete their six week obsevation visit at the emergency departments of UCSF Medical Center and San Francisco General Hospital in San Francisco and they reflect on their visit and the differences in medical practice and education between the two countries.

How familiar are clinician team mates?

Lack of familiarity between teammates is linked to worsened safety in high risk settings. The emergency department (ED) is a high risk healthcare setting where unfamiliar teams are created by diversity in clinician shift schedules and flexibility in clinician movement across the department. Dr Ellen Weber speaks to Dr Daniel Patterson about his research to characterise familiarity between clinician teammates in one urban teaching hospital ED over a 22 week study period.

Read the full paper: http://emj.bmj.com/content/32/4/258.full?sid=f47dc6b9-deef-4a61-a77a-342ea713262b

January 2015’s primary survey

Simon Carley, EMJ associate editor, talks you through the highlights of January's EMJ, including pulmonary embolism in pregnancy and the post partum period, the causes of suffering in the ED, and how to diagnose a patient by their facial expressions. For all the content from the issue, see: http://emj.bmj.com/content/32/1.toc Listen to a podcast on diagnosis by face: http://goo.gl/0ackZw Listen to a podcast on suffering in the ED: http://goo.gl/JhGa7P

Not all suffering is pain

Provision of prompt, effective analgesia is rightly considered as a standard of care in the emergency department (ED). However, much suffering is not ‘painful’ and may be under-recognised.

A recent paper in EMJ looked to describe the burden of suffering in the ED and explore how this may be best addressed from a patient centred perspective. Ellen Weber talks to lead author Richard Body, Emergency Department Research Office, Manchester Royal Infirmary, to hear what they found.

Read the full paper: