Supervisor stage 1 quiz (view the supervision video first)

Quizzes

Supervision Stage 1 videos Which of these are described in the three hats metaphor? Leadership, instructive and demonstrative Educational, supportive, and managerial Inspirational, dynamic, and coordinated Up-front, stand-off and intermediate What is the point of the three hats metaphor? To help identify different roles you have as a supervisor To assist with managing the tensions…

Surviving a 400 m Fall on Mount Everest

Other research

Author: Dr Dinesh Deonarain
Type: Other research
Date: Sep 2022
Abstract:
Mountaineering is a dangerous recreational activity with falls causing severe injuries and deaths. Survival from falls longer than 100 m is uncommon. We present a case of a high-altitude porter on Mount Everest who fell 400 m and survived. He slipped from a ridge at 7000 m (22,900 ft). A rescue party found him above Camp 2 (6600 m, 21,600 ft) and arranged a helicopter rescue. The Everest ER medical team at Everest Base Camp (5400 m, 17,700 ft) received the climber. They identified a head injury without signs of other serious trauma. A doctor provided manual inline stabilization of the cervical spine, airway support, and ventilation for the patient during the helicopter and ground transport to a tertiary hospital in Kathmandu. The time from the fall to definitive hospital care was 2.5 h. The hospital emergency team diagnosed an epidural hematoma and subarachnoid hemorrhage without midline shift and right parietal, orbital, and maxillary fractures. The neurosurgical team evacuated the intracranial bleed. The patient spent 6 d in the hospital. He had a positive neurological outcome. He had mild cognitive impairment and vision loss in his left eye but could perform activities of daily living. He returned to physical work, but not to climbing. This case report provides evidence that survival is possible after falls from extreme heights and sheds light on the challenges of an evacuation from austere environments.

X-ray misinterpretation in urgent care: where does it occur, why does it occur, and does it matter?

Other research

Author: Dr Crispian Wilson
Type: Other research
Date: April 2022
Abstract:
Aims: To assess the error rate in plain film interpretation amongst urgent care doctors in the context of minor trauma, to determine where such errors occur and whether they affect patient care, and to identify possible causative factors. Methods: Five thousand X-ray interpretations occurring between March and August 2021 across six urgent care clinics were included in this retrospective study. Data analysis focused on demographic data, site of injury, the experience of the doctor interpreting the X-ray, and whether any change in management occurred following an error. Results: Six hundred and seventy-three X-ray interpretation errors occurred (13.5%), with 171 of these (3.4%) resulting in a change in patient management. Chest and elbow X-rays were misinterpreted most often. Both the age of the patient and training of the urgent care doctor had a significant effect on this error rate. The main impacts on patient management were cast removal and recall for review in the urgent care centre or an orthopaedic clinic. Conclusions: X-ray misinterpretation occurs at equivalent rates in urgent care when compared to the emergency department. Errors occur more commonly with paediatric patients and for doctors with less urgent care-specific training. These errors rarely result in any serious impact on patient management.