How the NHS appears to work over the summer. "Hello, super specialist service!" "Oh yes, Janet's looked after Mr. Jones for 20 years, very complex he is." "But Janet's on holiday for 6 weeks, can it wait? "An emergency, u say? Well, you better contact the Dr, lovely F1"

Pottys not allowed in paediatric wards as infection risk. My child will instead just poo on the floor because that's better.

📆 Next month at #RCEMasc: An exploratory cross-sectional study of the role of the consultant nurse and consultant practitioner in UK EDs @stgEDresearch Vicky Mummery #StGeorgesUniversityHospital #Network #Learn #CPD ➡️ Don't miss it, register to here - tinyurl.com/RCEMEventasc24

Which of the following effectively rule out a PE: a) Absence of chest pain b) Wells' score of 0 c) Presence of a CAP on a chest radiograoh d) No evidence of DVT e) None of the above, which is why PEs are such a bloody nuisance

New group of juniors, gave them a talk on "What happens when you muck up" Because I think talking about the inevitable error or incorrect diagnosis is better than just saying "it'll happen one day"

Gutted that our regional course on communication with the dying patient and their families has been cut due to budget constraints. Was really valuable for IMTs, practicing communication skills In a safe, observed environment.

One is not maintaining their own aware. One simply hasn't aspirated everywhere, yet.

Best lesson from Denmark and #EUSEM2024 so far. Properly developing a cycle infrastructure can benefit an entire population. Cycled the 5km to the centre today on segregation paths, where I was probably the greatest danger

Learning about how POCUS can help with surgical airways in frail patients. There's a lot to unpick there #eusem2024

Stunning talk by Leeds Emergency Departments Jonny Scrimshaw and Harriet Turner on the epidemic of knife crime and making impossible calls.

Don't be "heimskur" Icelandic for one who has not travelled, gather knowledge and take it home #eusem2024

Running in situ sim regularly is a good barometer of an emergency department. If you don't have the capacity to run a sim for your staff because it's too busy, then the problem isn't the sim. It's the staffing model

And we start #EUSEM2024 today with walking into a discussion about the benefits of 18 lead ECGs in EM. Interesting, can't wait to see the look on people's face when I suggest it back home.

I like this slide

1% - 3% complication rate of peripheral vasopeessors 4% complications of CVC lines (CLOVER Trial) Take away peripheral pressors safe in the ED. #EUSEM2024

We have a population that is changing, and we can't keep doing the same thing. Bringing someone to the ED is an intervention that may not be in their best interests. We need to get better for them and for us. #eusem2024

A number of cardiology letters suggest administrating 2 litres of IV saline to patients attending the ED with a flare of their POTS. Is it Evidence based or not? And if so, can anyone show me the research?

Who is asking their residents to come to induction, then go home, then come in to do a night shift. You know that's not okay, right? Even if induction is virtual.

Recruitment opportunity Leeds Emergency Departments. Applications to become an ACP in emergency Medicine. jobs.nhs.uk/candidate/joba…

BMA ballot for RDs today. Vote Yes! Or Vote No. That's your choice. But just Vote!