Article Text

Download PDFPDF
The view from here
Emergency Medicine: let’s feed the good wolf
  1. Charles Reynard1,2,
  2. Govind Oliver1,2,
  3. Tajek Hassan3,
  4. Richard Body1,2
  1. 1Emergency Department, Manchester University NHS Foundation Trust, Manchester, UK
  2. 2Division of Cardiovascular Sciences, University of Manchester, Manchester, UK
  3. 3Emergency Medicine, Royal College of Emergency Medicine, London, UK
  1. Correspondence to Dr Charles Reynard, Emergency Department, Central Manchester University Hospitals NHS Foundation Trust, Manchester M13 9WL, UK; charlie.reynard{at}

Statistics from

Emergency Medicine in the UK is under enormous pressure. Every member of the multidisciplinary team will be aware of the current climate within the National Health Service and have felt its effects in some capacity. Individuals, teams and departments are stretched to the limit dealing with increasing numbers of, and sicker, patients. Our patients are subjected to long waits on trolleys and waiting times have deteriorated as hospitals fill but our doors remain open. Missed targets and upsetting stories are frequently highlighted in the media. The cumulative effect on staff facing these challenges on a daily basis can be substantial, leading to high rates of burnout and compassion fatigue. This can, at times, create an overwhelmingly negative atmosphere. Patient safety is paramount during our current challenges, but we would like to discuss the importance of our own narrative and the choice we have in whether and how much we feed the bad wolf and the opportunity to feed the good wolf.

Tale of two wolves

The tale of two wolves is a Native American Cherokee legend in which it is described that there are two wolves duelling inside each of us. One wolf is virtuous, displaying kindness, …

View Full Text

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.