Surgeons wouldn’t operate in a broom cupboard Dermatologists wouldn’t run clinic in the canteen ICU wouldn’t ventilate patients in the car park So why do we expect that Emergency care can be provided on corridors?

“What’s the craziest thing you’ve seen in the ER?” The daily consequences of a completely broken healthcare system.

we don’t own the earth don’t own the earth we killing each other over some lines in the dirt we bleed the same blood feel the same hurt Palestinian life does it have the same worth?

Possibly unpopular opinion but intubation IS a core ED skill and we should be fighting in the UK to keep this in our teams (along with other critical care skills), especially since the introduction of the ACCS programme #airway #EM #EmergencyMedicine

As we winter deepens some advice from an aging Emergency Doctor about how to keep going, sometimes smiling and very occasionally thriving 1, Control the controllable—health policy and funding are not your responsibility, and you do not need to feel guilty or responsible for them

Called out NHSE’s narrative that it’s possible to provide safe care in corridors. Used strong language putting our statement together, reflecting Royal College of Emergency Medicine members’ and colleagues’ strength of feeling on this matter. Degree to which corridor care is normalised is dumbfounding

We have made it clear that the NHS temporary escalation spaces (TES) guide is "normalisation of what is an unacceptable and dangerous situation". RCEM Position Statement: tinyurl.com/rcemTES RCEM News: tinyurl.com/rcemNews1612 TES guide: england.nhs.uk/long-read/prin…

The notion that the hospitals are storing up inpatients unnecessarily or that we can treat much more of our emergency admissions at home is a fallacy. Stroke, sepsis, cancer, trauma, heart attacks and pandemic cannot be managed by ‘integrated’ and ‘enhanced’ community structures

RCEM president: ‘All the admission avoidance in the world won’t help an elderly patient waiting on a trolley in a corridor for hours (days)’ Never a truer word. Root cause of crowding is lack of Health & social care capacity & flow + need to evolve to realistic medical practice

I think we may have gotten to a time in healthcare unfortunately where stating “this is a patient safety threat” no longer carries weight it did to drive change given the breadth of everyday threats that exist in the system. 🤦‍♂️😳🤷‍♂️

Emergency medicine is a lifestyle, not just a job. You’ll see the sickest patients, the worst luck, and the darkest corners of humanity—& still be expected to smile, move fast, and get it right every time. A thread on what they don’t tell you about EM. 🧵

🌙 Ramadan in the ED: Understand its impact on Muslim ED staff & patients. Fasting from sunrise to sunset affects hydration, medication schedules, and overall well-being. Let's ensure compassionate and informed care during this holy month: rcemlearning.co.uk/foamed/ramadan…

This tribute video for the 20th God of War anniversary is something special, enough to have made me tear up. Thank you Santa Monica Studio – God of War Ragnarök Thank you God of War 💙

Bed state should not affect your admit or discharge decision making. Just because the hospital or ITU is full, it doesn’t mean a person who deserves that care should be denied it.

The most beautiful thing in emergency medicine isn’t saving a life. It’s conducting the symphony. 3, maybe 4 crashing patients at once. You can’t save them all at the same time. But you don’t panic. You lead.

Pakistan's massive oil reserves

Our national study found that for every one hour with patients, UK resident doctors spend four hours on admin. In The BMJ today, we break down why this isn’t just an inconvenience, it’s a safety risk.  1) Fragmented EHRs → endless copy-paste + re-entering data 2) Trainees

What it's like working in the NHS right now.

Work out the maths. Evidence from England shows that for every 72 people who stay 8-12 hours before admission, there is one excess death. Not tackling this is a deliberate policy choice.

Emergency Medicine depends on collaboration. When the ED calls you, here’s what you can do to be a great consultant (by request). 🧵