The journal of the Royal College of Physicians of Edinburgh
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J R Coll Physicians Edinb · Jun 2019
ReviewThe importance of nontechnical skills in leading cardiopulmonary resuscitation teams.
Cardiopulmonary resuscitation (CPR) is one of the important clinical competencies for medical trainees. Since the introduction of the first guidelines for CPR in 1966, further research has resulted in more recent updates. The latest in the UK was published in 2015 by the resuscitation council. ⋯ Research performed on leadership in emergency medicine highlighted the importance of the nontechnical skills displayed by CPR team leaders. Nontechnical skills refer to cognitive, behavioural and social skills that contribute to efficient team performance, such as task management, assertiveness, situational awareness, communication and decision-making. This review discusses the importance and applicability of nontechnical leadership skills in CPR based on current evidence in the literature and the clinical practice in UK hospitals.
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J R Coll Physicians Edinb · Mar 2019
Case ReportsSpontaneous pneumomediastinum (Hamman's syndrome): presenting as acute severe asthma.
Spontaneous pneumomediastinum (SPM) is an uncommon finding and clinicians must consider this during their clinical evaluation. High degree of suspicion and appropriate investigations play key roles in early diagnosis and avoiding potential life-threatening complications. ⋯ The prognosis of SPM is usually good with resolution in most cases, and it has a low recurrence rate. We report a case of SPM in a young 19-year-old male who presented with symptoms of acute severe asthma and who made a complete resolution with conservative management.
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J R Coll Physicians Edinb · Dec 2018
Historical ArticleSir Alexander Morison and The Physiognomy of Mental Diseases: Part 2.
Sir Alexander Morison's The Physiognomy of Mental Diseases and the original art work that formed the basis of the book have not had the scholarly attention they deserve. The published book and the commissioned portraits have not been studied in any detail. Historians have tended to offer cursory assessments that have reflected their own preconceived ideas rather than properly engaging with the material. ⋯ Morison's work can also be located in the history of ideas about physiognomy. He himself was particularly influenced by Jean-Étienne-Dominique Esquirol, and Morison's work, in turn, influenced WAF Browne. These papers will outline Morison's career and consider in detail his book on The Physiognomy of Mental Diseases.