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 154 - January 2020 Round Up
Ep 153 - December 2019 Round Up
Ep 152 - November podcast round up on St Emlyn's
Ep 151 - October 2019 Round Up
Ep 150 - REBOA with Zaf Qasim
Ep 149 - September 2019 Round Up
Ep 148 - CRASH-3
Ep 147 - August 2019 Round Up
Ep 146 - European Resus Council meeting Slovenia 2019
Ep 145 - The UK Resuscitationist with Dan Horner at #stemlynsLIVE
Ep 144 - July 2019 Round Up
Ep 143 - The Future of Diagnostics with Rick Body
Ep 142 - Psychological performance in the Resus Room with Ashley Liebig
Ep 141 - June 2019 Round Up
Ep 140 - GI emergencies with Chris Gray at #stemlynsLIVE
Ep 139 - May 2019 Round Up
Ep 138 - Traumatic Cardiac Arrest with Prof Jason Smith RN
Ep 137 - Beyond ATLS with Alan Grayson at #stemlynsLIVE
Ep 136 - Wellbeing for the broken with Liz Crowe
Ep 135 - April 2019 Round Up
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