BadEM

What if your project cut inpatient deaths by 31% in the facilities that adopted it? That’s exactly what Karima Khalid and her co-founders achieved with Essential Emergency and Critical Care (EECC) in Tanzania. Too many people were dying because they didn’t get basic emergency and critical care. That care costs little, and in most cases it’s already available in health facilities at every level around the world. In the latest episode of the badEM podcast, Karima tells us how she and her team started, grew and scaled EECC. Today it’s a powerful example of what years of consistent, good work can achieve. Their work was recently recognised with the inaugural Lancet–Elsevier Foundation Evidence to Impact Award.

In healthcare - context matters. One cannot take building blocks and manufacture them in a certain way to get a working system. One has to rather get a building block and treat it like a sculpture that one chisels away at over time, moulding it to work for you. Uganda is a unique place with a unique set of needs. Listen to this month's episode to find out how Joseph Kalanzi (and many others) are sculpting Emergency Medicine to fill a much needed gap specific to their own needs.

Emergency Medicine has grown in South Africa over the last 20 years, but not equally in all provinces. The Eastern Cape is a complex, relatively low resource setting, where Dr Sian Geraty and Dr Luan Taljaardhave been working for years to drive access to quality Emergency Care. How to achieve it - look after human capital, build relationships and show up every day with the right attitude towards improvement. These notions are evidence by the steady growth of the EM mindset in the region over the recent years, and even more potential in the pipeline.

"When an aeroplane crashes, everybody — including the pilot — dies. But when a healthcare worker makes a mistake, it's only the patient who dies." It's with this sobering thought that we introduce Dr John Roos on the latest episode of the badEM podcast. John is a specialist anaesthetist at Mitchells Plain Hospital who has spent much of his career studying how mistakes happen — and how to stop them. We explore Crew Resource Management (CRM) — a concept born in aviation that aims to reduce the human factors behind negative outcomes. From communication, to leadership and followership, to fatigue and burnout, we cover a lot of ground. John has shaped countless minds over his long and winding career, and his wisdom shines through in this conversation. Find info about his course "Human Factors Masterclass" - by emailing [email protected]

Transforming dangerous "Red Zones" where EMS staff put their lives at risk, but where innocent patients face delays due to inequitable access, into green corridors through community lead engagement. Improving the quality of paediatric transfers through education, simulation and reflection. Advocating for EMS through context driven discourse on a policy making level. All this and more in this diverse episode with the trailblazing Athenkosi Sobada

Professor Salome Maswime is an icon of South African healthcare. Her wide range of skills have benefitted so many across different spaces within the South African, African and Global Healthcare architecture, with plenty more to come. In the latest episode of the badEM podcast she shares her insight into capacity building and equitable access to service provision, from the viewpoint of both a specialist Obstetrician and Gynaecologist, and further as a pioneer in Global Health and Global Surgery. We also touch on her new role in the education space, and the regulation of policymakers.

Adaptability, working with limited resources and information, teamwork and decisiveness are all skills that are developed in spades working in Emergency Medicine. How do they apply to global health and humanitarian or conflict medicine? And what skills can be counter transferred back from conflict zones to everyday under resourced emergency departments? All this and more in the latest episode of the badEM podcast, where we chat to Dr Edward Chu, Emergency Physician and long term advisor for MSF.

Season 3, Episode 3 features Dr Dave le Roux, district paediatrician for Cape Town's Metro West subdistrict and clinician at Mitchells Plain hospital, talking community paediatrics with us.We cover a lot of ground: why complex health ecosystems can't be solved with simple solutions, who should actually be tracking community health data, and the practical realities of how Emergency Medicine and Paediatrics interact — referral pathways, investigations, and the relationships that make it all work.If you work in health, manage health systems, or are just trying to understand how community-level care actually functions in a resource-constrained environment — this one's worth your time.

Where do Family and Emergency Medicine meet? How can we facilitate patient's healthcare journeys in the most patient, healthcare and system friendly manner? Do we need more or less rigidity between primary, secondary and tertiary facilities? All of the above and more in our latest episode of the badEM podcast - where we chat to Dr Ts'epo Motsohi and Dr Michelle Allen from the Stellenbosch University Dept of Family and Emergency Care.

Alcohol vs Healthcare