This absolute weapon almost runs me off the road withe her panzer and then plays the victim

Congratulations to Kathleen Stock / UnHerd for receiving a high commendation in The #PressAwards Tabloid Columnist of the Year category

Hugest congratulations to Hadley Freeman! ☺️

Dear followers of Jean Rhys! I have an announcement which I thought I would never be able to make. Thanks to the Cass Report, I feel I can shed my anonymity and Jean Rhys, who has protected me for five tumultuous years, can finally retire… 1/12

(laughs in emergency physician)

David Hartin Accountability buck stops with Rishi Sunak and those who voted for the Tories

It doesn’t matter how busy it gets.

Don’t skimp on your documentation.

Don’t leave it to the end of your shift.

If you don’t take it from me read this…

#EMNegligence #RCEMcpd

Trauma in the kidney transplant patient.

Not that niche!

#RCEMcpd

'You can't talk about it without smashing your head against a metaphorical brick wall... and it's self-inflicted.'

James O'Brien highlights the government and media's preoccupation with Angela Rayner's tax row instead of addressing medical supply chain issues worsened by Brexit.

Outstanding presentation from ⁦Ian Higginson 🌈⁩ about crowding. The single most important issue facing our specialty. But, with the right policies, this is a fixable problem #resuscitateemergencycare

The key to effective RAT is getting patients out of RAT quickly to assessment areas, SDEC, primary care or home.

If this doesn’t work, all that’s achieved is duplication and over investigation / diagnosis / treatment.

And it’s knackering. #RCEMcpd

But actually I don't really hold the single organ / disease teams responsible.

Executive teams are responsible for enforcing accountability. And the evidence seems to be that they avoid doing this. Because it's too hard or unpalatable.

Until they do, we will fail. #RCEMcpd

David Hartin Absolutely! We SCREAMING from the roof tops that crowding and queueing harms patients. And then when it harms patients we are held accountable.

The bottom point is the one that boils my p***. Constantly.

Accountability. Of others in the system.

EM is accountable for everything. When other services don’t work / stop working / seem like a “hobby” where is the accountability?

#Crowding #RCEMcpd

ED crowding in one slide.

Patients come to harm and die,

Staff come to harm.

The system suffers too.

It’s really bad.

Ian Higginson 🌈 #RCEMcpd

While it's bittersweet that today marks the final day of #RCEMCPD , we're kicking things off with Ian Higginson 🌈 addressing the pressing issue of crowding in EDs. His passion for CPD promises to ignite valuable conversations. Join us at 9:45 to delve into this prominent topic!

You wanna improve wellbeing in NHS EDs at a stroke that would cost very little?

This. Just this.

(Editors note: this does not purport to represent any official communication from RCEM. But do it.)

#ResuscitateEmergencyCare

Back pain to end the day - or as I think of it these days, spinal pain.

Handovers are fraught, handovers of spinal pain are notorious in my mind.

Writing a report to the Ombudsman after someone was discharged nearly 3 times in one night with a wry neck will do that… #RCEMcpd

Really interesting from Gareth Grier on the early management of hyperacute brain injury and impact brain apnoea.

Early bystander management an area we can improve on.
#RCEMCPD

More on IBA below
stemlynsblog.org/impactbrainapn…