St. Emlyn´s - By Simon Carley - August 11, 2017
"Conclusions
- No matter how good a department is, and I love mine with a passion (told you I am a dinosaur) it can always be better.
- The ‘expert patient’ can be dangerous but simple safe processing reduces that danger.
- Do not take the “expert’s diagnosis” for granted, no matter how senior, always do the simple skills we were taught in medical school.
- No one else noticed my low sodium on my first visit, yet roughly a third (32%) of acute head injuries may have low sodium with ADH secretion believed to be the cause (so any FRCEM candidates might want to look out for a question on this soon).
- Have systems set up in your department to counter the real problems that VIPs can encounter. It’s pretty simple in theory but does demand a tight team who trust each other and look after each other."