Nul pointes?

Cliff Reid surmises that preparing yourself BEFORE the stress and immediacy of critical care tasks. Zen achieved via zero points...  survey that is. Not just for pre-hospital teams but also for ED situations.

 

Moral injury

  Dr Zubin Damania does great parody songs but his rants are equally engaging. This call to arms denounces the odious habit of blaming people rather than systems/institutions. A different viewpoint indeed but well thought out and has evidence at its core. Other very good links on this topic:

• St-Emlyns podcast on Med students and moral injury
• WRAP EM on the entire wellness/resilience spectrum
• Dr Ken Milne on his personal journey of burnout

How you perceive these challenges (in the ED setting) depends on your world view however your perspective might be influenced by the following; 

1. Stepping into a non metropolis resource limited setting
2. Being a patient or having a loved one be a patient
3. Talk with an "old timer" ED Doc. If they're still in this challenging environment after decades, they must be doing something right.

Systems inherently lack pathos so our efforts must be channeled into doing what best for patients and peer monitoring/support for ourselves/nurses/students.

As always... fight the power! 

Get coached

If there is a doc you SHOULD listen to for worldly advice without prejudice nor agenda, it is Atul Gawande. In this TED talk, he extols the virtue of coaching.