Uncertainty

Our first Academic forum of the year with our new AF Officers, Eliot Siggs and Omar Elhalwagy, was on the theme of Uncertainty in a prehospital care setting. We had three speakers:

1. Dr. Andrew Milne, a HEMS registrar with London's Air Ambulance and a trainee at the Central London School of Anaesthesia. He spoke about the sources and dimensions of uncertainty, the concept of bandwidth, and ways clinical uncertainty can be minimised.

2. Daniel Wynn, a third year MBBS student on the PCP programme, was talking about a cardiac arrest he attended, where language barriers and difficulty communicating with the patient's family made decision-making regarding continuing CPR very complex.

3. Dr. Carl Evans, a junior doctor and alumn of the Prehospital Care iBSc. He wrote his dissertation on uncertainty following out of hospital cardiac arrest and management of these patients, and has done further research on the topic since. At the forum, this is what he spoke about, focusing on airway management, drugs, refractory VF as well as where should the patient go?

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