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"If an older adult attends a frailty-attuned ED, #frailtyscreening can be rapidly undertaken by specialist multidisciplinary teams, working collaboratively to provide comprehensive care. This model can reduce ED reattendance or hospital admission." bgs.org.uk/blog/getting-t…

Ok. A few bits. Will add a context of intravenous sedation for long bone fracture manipulation as an example. 1. Even when the pre-sedation environment is tense, noisy, loud, etc., speak gently with the patient before you start. Allocate someone to continue to speak smoothly and

Eid Mubarak!

A very senior surgical colleague once said to me ‘I have no idea why we expect you to make a diagnosis in four hours. After several days and multiple tests I often still don’t know what’s wrong’.

Trying to fit little half day trips in a busy work schedule. Life of an EM physician can be tough and stressful, so days like these are a godsend. #WellbeingWednesday

"Early emergency department frailty screening changes everything." >> Our new editorial in Age and Ageing. Frailty screening in the Emergency Department: why does it matter? academic.oup.com/ageing/article… CURE SCHARR Geriatric EM Europe #GeriEM

IAEM expresses our sincere condolences to the family and friends of Aoife Johnston. Our response to the inquest is available on our website at bit.ly/4aXMEwH

🚨 Join us on the 26th June from 10:00-12:00 for the launch webinar for the Major Trauma Audit Report Focused on Older Adults 2017-2021. This report is focused on older adults, defined as those aged 65 years and over, with major trauma injuries. It explores an in-depth analysis

Impressive new guideline from HSE Ireland launched by Dr Colm Henry, CCO HSE Ireland. Consensus guideline that insists that all responsibility for diagnosis of and all risk as a result of cauda equine rests with emergency medicine. Irish Medical Organisation IAEM IHCA

If you thought UK Cauda Equina pathways were bad, take a look at this from Ireland. Please don’t call the spinal surgeon unless you have made them a cup of tea acknowledging their preferences (after documenting them on the time stamped proforma)

CUH ED nursing triage staff went 'live' today on iPMS, with a frailty trigger to identify every frail older adult over 75 years. Thanks to Liz McGrath and Cincinnati Rugby Football Club for your hands on support and stellar research. Making the care of frail older adults a CUH/MUH priority in 2024.

Submit your abstract by Friday, 16th August! via iaem2024.exordo.com This year the TOP 30 abstracts will be published in the EMJ!!! Save the dates - IAEM ASM 2024: 17-18 October, Killarney Convention Centre #24IAEM #WhatMattersMostEM

🚨 COURSE ANNOUNCEMENT 🚨 The European Trauma Course is coming to Cork, June 3-6, 2025! This top-tier course is designed to establish key concepts in trauma care through immersive case simulations and inter-specialty teamwork. For more information, visit cuhem.ie/ETC-2025

One of the kindest people I've met in Ireland, and my first supervising consultant! You'll be missed Gerry! Go raibh maith agat as gach rud.

IAEM are pleased to release our 'Standards for Emergency Department Design and Specification for Ireland', targeted at those involved in developing ED infrastructure including clinicians, funders, health care planners, engineers, designers and architects. bit.ly/3AwgwCN

The Pre-Hospital Emergency Care Research in Ireland Conference will be on Wed 13th Nov in Glenroyal Hotel, Maynooth, Co. Kildare, Ireland, W23 C2V1, with a pre-conference evening event on Tues 13th Nov. Abstracts submission here: phecc2024.exordo.com

The SHED study is published! Thanks to the 100s of contributors around the UK... This paper raises a lot of questions - how will it influence your work? What post test probability of SAH and aneurysmal SAH are you, and your patients, comfortable with? emj.bmj.com/content/early/…

My "Alternative to Darzi" report: 1. Act early to prevent expensive disability and long term care. Ensure equitable & rapid emergency access to STEMI PCI, stroke thrombolysis, prehospital critical care in trauma & cardiac arrest. Investigate ?new cancer in days. /1

'Post nights Delirium' - a disturbed state of mind or consiousness occurring after a stretch of 7 nights, where you end up buying a ficus at 8am instead of eggs for your breakfast.

🚨SAFETY FLASH 🚨 Glycerol Toxicity from Slushies Can present as nausea, abdominal pain, headache, drowsiness and profound hypoglycaemia. See the full SF with links: tinyurl.com/ytsm3yjt For all our safety flashes and news alerts: rcem.ac.uk/safety-3/#safe…