It's easier to intubate than to ask
On a busy Friday night, one path is far easier than the other. Values-based care can't run on individual determination alone — it needs the structural investment we've given every other problem we take seriously.
Read →Your brain hasn't changed since you were a registrar
Working memory doesn't get bigger with seniority. The consultant at 0300 can hold roughly the same number of things in mind as the registrar standing next to them. Cognitive aids aren't something you grow out of.
Read →Your patient's prognosis depends on who's on tonight
146 consultants estimated the same patient's survival from 0% to 95%. Their decisions to admit or decline were barely better than chance.
Read →Your cardiac arrest team has never met
A cardiac arrest is called overhead. Within minutes, a team assembles. No one has actually confirmed these roles for this arrest, with this team, on this shift.
Read →The mistake only an expert can make
When fast clinical reasoning is wrong, it is wrong with confidence. The error doesn't feel like an error. It feels like expertise.
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