It is a little known fact that to be successful as an emergency physician in the UK it is vital to take a three month rotation in Archery. Archery is a key skill for us all dating back to Medieval times when we introduced the longbow into warfare. This devastating tool could cause panic in opposing forces, scattering them into many wide and ineffective directions. In short they were an effective tool to cause and disruption inthe opposition ranks whilst the noble English armies of old strode forward with their visions of the future. Soldiers trained using targets to hone their skills and to focus on the aim - meeting the target.
Of course these days we do not have real bows and arrows in the emergency department, but archery remains alive and well. In the modern NHS we still train our troops in archery, or at least in the principle aim of archery - to meet the target.
With our long history of target setting and target hitting it is therefore no suprise that we are world leaders in standards/targets/indicators....., whichever term you prefer in fact and it has to be said that a target culture in the NHS has been criticised widely, even being blamed for the exodus of trainees to Southern climes, but there is arguably more to it than that.
In last weeks episode we touched on new targets around trauma care in the UK and that raised many questions and opened a debate on twitter. This week we want to take those thoughts further and ask what we, as the archiest of arch archers across the entire NHS can do with these externally set targets.
What we forgot to say in the podcast is the absolute need to work alongside a short stay admissions unit under the ED umbrella. Without that you would really struggle to deliver safe and efficient care. We both work in units with short stay admission units that allow us to deliver safe diagnostic and therapeutic interventions to our patients.
So, with some trepidation Iain and I ask whether all targets are a bad thing....
vb
S
Ep 194 - August 2021 Round Up
Ep 193 - June and July 2021 Round Up
Ep 192 - May 2021 Round Up
Ep 191 - Adult Congenital Heart Disease in the ED: Part 2
Ep 190 - Adult Congenital Heart Disease in the ED: Part 1
Ep 189 - April 2021 Round Up
Ep 188 - India COVID19 wave in Spring 2021
Ep 187 - March 2021 Round Up
Ep 186 - Assessing online medical education resources with Peter Brindley
Ep 185 - February 2021 Round Up
Ep 184 - January 2021 Round Up
Ep 183 - Am I going to die? Communicating COVID-19 test results and risk (January 2020)
Ep 182 - COVID-19 vaccines update (January 2021)
Ep 181 - Christmas 2020 Round Up
Ep 180 - Understanding COVID-19 testing with Professor Rick Body (October 2020)
Ep 179 - October 2020 Round Up
Ep 178 - Surviving the Second Wave with Liz Crowe (October 2020)
Ep 177 - September 2020 Round Up
Ep 176 - JC: Can we give tranexamic acid (TXA) via the IM route? (October 2020)
Ep 175 - August 2020 Round Up
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