Emergency medicine in Canada is in crisis. Here are 11 reasons from someone in the trenches.

EM:POWER is the result of input from all sectors of healthcare. ED is the epicentre. There are solutions and I know that healthcare can be better for all Cdns. We need government & policy makers to commit to change with frontline experts at the table.CAEP

Congratulations on publishing a #TopDownloadedArticle Eve Purdy Victoria Brazil Warwick Isaacson

doi.org/10.1111/1742-6…

#OpenAccess

Gold Coast Health Bond University
Wiley Clinical Health ACEM

This is the reason your ER doctors are leaving. You don’t have a family doctor, and you can’t get an admission bed. So you end up waiting and waiting in the ER for a physician who might not be able to help much, by Brian Wall thestar.com/opinion/this-i… Toronto Star Raghu Venugopal MD

Risks relating to intrapartum electronic fetal monitoring are linked to multiple structural issues like staffing, equipment & facilities, but also issues relating to teamwork, skills, & issues in the evidence base
Paper ths.im/3QT8ZUt
THIS summary ths.im/49ywxFi

“After forty-five years of working in one emergency department or another in Ontario, I ask myself “Seriously, What the Fu$k”?”
alan drummond CAEP Nili Kaplan-Myrth MD PhD Michelle Cohen, MD
emergencycarecanada.wordpress.com/2023/11/18/ser…

Faculty development for translational simulation: a qualitative study of current practice ⁦AdvancesinSimulation⁩

Lovely to have watched this work evolve from idea to workshop ⁦SESAM ⁩to study and publication. Thanks to all involved. advancesinsimulation.biomedcentral.com/articles/10.11…

“Collaboration beyond the historical boundaries of the healthcare simulation community is valuable, both for developing practitioners’ skills and for building an effective practitioner team within translational simulation programs.” Victoria Brazil Eve Purdy Alexander El Kheir 👏🏼👏🏼

In the opening session of #SAS2023 , Victoria Brazil discusses ‘teaming’ as a skill required for effective team function.

I'm so excited to see Eve Purdy
talk from Team DFTB on relational coordination, effective teams and why the small moments matter.

This is a must see for those of us who work in team based healthcare.

#FOAMed #Smallmomentsmatter

youtu.be/et2arg8h7oU?fe…

Physician efficiency has very little impact on ED patient throughout. Other organisational & system factors have a much greater effect such as availability of support staff / speed of investigations / speed of consults / availability of discharge pathways.

simulationpodcast.com/178-simulcast-…

A delightfully spicy Simulcast this month, one of my favourite chats with Victoria Brazil so far! (And that's saying something!)
#FOAMed #FOAMSim

How do we improve healthcare systems, safety and quality through simulation?
Start with #simulation expertise but also -
Governance and leadership, resources , planning and principles
Great work Adelaide Health Simulation

Recommendations for embedding simulation in health services | ⁦AdvancesinSimulation⁩

Important new article 👇🏼

“coordinated and effective simulation programs have rarely materialised without a serious co-investment in people and faculty development.” advancesinsimulation.biomedcentral.com/articles/10.11…

Recommendations for embedding simulation in health services dlvr.it/Sx5BJf

Psychological Safety on the Flight Deck—Enhanced interpersonal skills training may be the necessary upgrade to human factors training.
#humanperformance #teamwork #trust #positivesafety
flightsafety.org/asw-article/ps…

You know, the problem is that healthcare is rapidly becoming unaffordable everywhere. And the more we crave advanced treatments, the more we denude basic care...or create inequities. We deserve honest debate with ourselves.

Psychological safety is a mental cost/benefit exercise every time we consider saying something.

If the interpersonal cost outweighs the benefit, we’re going to err on the side of silence.

As team members and leaders, our job is to reduce that cost and increase the benefit.

Waiting to die: the hidden pandemic of ED crowding and excess mortality James Worrall Paul Atkinson
rdcu.be/dnalB
'If all other things are equal, the UK analysis implies that 8000–15,000 Canadian patients are dying unnecessarily each year as a direct result of crowding.

This hit hard. The EDUCATe study describing how awful crowding is for specialty training and our concerns for the future #ResuscitateEmergencyCare #RCEMasc