Author Archives: robertlloyd85

Improving organisation-wide learning from “Coffee & Cases”: A quality improvement project

This blog post is an accompaniment to a presentation at the August ’23 Clinical Governance Day. The purpose of the talk was to update the service on the Quality Improvement Project I have been leading on. Why is C+C important?– … Continue reading

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Coffee and Cases Snippets: Don’t Leave Me In Suspense

By Raphael Dworkin, HEMS registrar. Every morning our team discusses cases over coffee. Here is a useful snippet… Fictional Vignette– 52M rally car driver accidentally clips a tyre wall causing his car to flip upside down at low speed. It … Continue reading

Posted in Cases, General PH&RM | Tagged , , , , , , | 3 Comments

Top 10 Coffee and Cases Snippets from April 2023

Thanks for a great month of case discussion!The C+C QI project team

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Coffee and Cases Snippets: Intubating the patient with a HAGMA

Every morning our team discusses cases over coffee. Here is a useful snippet… Patients with a severe high anion gap metabolic acidosis (e.g. from severe DKA, AKI, toxic ingestions, severe lactataemia from bleeding/sepsis/some other form of badness) have a markedly … Continue reading

Posted in acid-base, Airway, General PH&RM, Interhospital | Tagged , , , , , , , , | 3 Comments

Reflecting on two months as a Sydney HEMS registrar

Uniform fitted. Induction complete. 10-mission milestone reached. It has been a learning frenzy. I’m a UK-trained emergency physician, and am two months into my year as a Sydney HEMS registrar. Some of my early reflections on the experience have had … Continue reading

Posted in General PH&RM, human factors, Tips, training | Tagged , , , , , , , | 2 Comments