This article first describes the unique place of emergency medicine (EM) within the American healthcare system. Second, it examines the uncertainty that underlies the practice of emergency medicine. It then describes how risk is perceived, negotiated and minimised by emergency physicians in their day-to-day practice. Finally, it explores how the management of medical risk is related to the establishment of trust within the physician–patient interaction and to the construction of the 'competent physician'. In caring for patients, the emergency physician must minimise risk and instil trust within a pressured, time-sensitive environment. Consequently, the management of risk and display of competence to patients are simultaneously accomplished by symbolic representations, the use of medical diagnostic tools in decision-making, and narrative construction within the clinical interaction.
The Case of Emergency Medicine
Temporality and Women’s Embodied Experiences of Giving Birth
-quando-o-ltoquer-e-um-abuso-obstetrico > (accessed 27 November 2015). 11 In some circumstances it is, of course, necessary to induce labour or carry out an emergency Caesarean because of medical risk and clinical indication. 12 ‘Cultures’ of birth and the associated management of time are variable
An Analysis from Two Ethnographic Studies of Midwifery Units in England
Christine McCourt, Juliet Rayment, Susanna Rance and Jane Sandall
selectively in situations of medical risk, but routine use spread rapidly across the U.K. and almost universally in obstetric hospitals in the 1980s and has been difficult to discontinue. CTGs are not used in midwifery units. References Birthchoice ( 2013