Beginning to suspect that what3words has an ironic sense of humour built in, given the code for our ambulance triage station!

Now feeling really bad. For a trainee to put in the time and effort to edit the SBA then have someone come along and be ultra-picky about the words! Not my intention to criticise. Twitter / X can be such a minefield!

Am often struck by the word “denies” in a history. It is an odd use of English. Seems to have the connotation that you don’t quite believe the response.
“She has not had fever….. “
“She denies fever……”
Do these both convey the same meaning?

Prof Shin is the inspiration behind the PATOS (Pan Asian Trauma Outcomes Study) and PAROS (Pan Asian Resuscitation Outcomes Study) networks.
Great examples of collaborative research networks. I am really looking forwards to his talk.

Part of the motivation for this document seems to be to respond to perceived weaknesses or omissions in the recent Society for Critical Care Medicine guidelines

Finished this uncomfortable, sad and insightful book. Reflections on self identity, intensity of medical training and our own mortality.
Long hours culture still firmly embedded in US training. Calman did some good for UK trainees.

So, to apply this rule you need to first decide that a blood culture is required - then apply the rule. This will be a hard piece of logic to apply.
It would be an error to apply the rule to all patients suspected of sepsis!

Bank holiday quiz. If you have a patient who is identified as high risk by a prediction model (say 10%) and you treat them correctly, does this make their risk less than 10%?

Sad to hear of the passing of someone who really shaped the way that I think about my work and my own decision making. ‘Thinking fast and slow’ should be required reading for all emergency physicians.

bbc.co.uk/news/world-us-…

Was sad to see this goodbye from the UK Cochrane collaboration - it feels like we have lost something good. Cochrane

I really liked this representation of primary care work. Should be read and thought about by any member of ED staff before they do any media interviews about the cause of ED crowding (clue: it’s flow not primary care!).

This article highlighting the information governance difficulties involved in training AI on NHS data.
Also mentions that reinforcement learning not compatible with current medical device regulations.
Good to see a journalist opening up these issues Zoe Kleinman

bbc.co.uk/news/technolog…

Great inaugural Professorial lecture from Elaine Cole at Barts and The London, Queen Mary this evening. Excellent combination of personal history and high quality science!
Some photos did not quite match the present audience.
Our patients are fortunate that Elaine chose Trauma over Trims.