Journal of Emergencies, Trauma, and Shock
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REVIEW ARTICLE
Year : 2022  |  Volume : 15  |  Issue : 1  |  Page : 47-52

BRAVE: A point of care adaptive leadership approach to providing patient-centric care in the emergency department


1 Department of Emergency Medicine, Singapore General Hospital; Duke NUS Graduate Medical School; Yong Loo Lin School of Medicine, National University of Singapore; Lee Kong Chian Medical School, Nanyang Technological University; SingHealth Duke NUS Institute of Medical Simulation, Singapore
2 Department of Emergency Medicine, Singapore General Hospital; Duke NUS Graduate Medical School, Singapore
3 Department of Trauma and Emergency Medicine, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India
4 Department of Emergency, Hospital Selayang, Kuala Lumpur, Malaysia
5 The Florida State University Emergency Medicine Residency Program, Sarasota Memorial Hospital, Sarasota, Florida, USA
6 Department of Surgery, Hamad Trauma Centre, Hamad General Hospital, Doha, Qatar
7 Department of Neurosurgery, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India

Correspondence Address:
Dr. Fatimah Lateef
Department of Emergency Medicine, Singapore General Hospital, 1 Hospital Drive, Outram Road
Singapore
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jets.jets_138_21

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The practice of emergency medicine has reached its cross roads. Emergency physicians (EPs) are managing many more time-dependent conditions, initiating complex treatments in the emergency department (ED), handling ethical and end of life care discussions upfront, and even performing procedures which used to be done only in critical care settings, in the resuscitation room. EPs manage a wide spectrum of patients, 24 h a day, which reflects the community and society they practice in. Besides the medical and “technical” issues to handle, they have to learn how to resolve confounding elements which their patients can present with. These may include social, financial, cultural, ethical, relationship, and even employment matters. EPs cannot overlook these, in order to provide holistic care. More and more emphasis is also now given to the social determinants of health. We, from the emergency medicine fraternity, are proposing a unique “BRAVE model,” as a mnemonic to assist in the provision of point of care, adaptive leadership at the bedside in the ED. This represents another useful tool for use in the current climate of the ED, where patients have higher expectations, need more patient-centric resolution and handling of their issues, looming against the background of a more complex society and world.


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