Aleks Sustar

The challenge of getting past Whatiffery applies to the whole clinical journey from referral to ED through to discharge ?

Super, da je prišel poletni val zaskrbljenosti nad razmerami na urgencah, naslednji bo spet pozimi med epidemijo respiratornih okužb in tako naprej. Spremenilo se ne bo nič, raje se ukvarjamo z vsem drugim, kot pa z reševanjem konkretnih problemov. Leto za letom.

Bosta nova helikopterja omogočala oskrbo dihalnih poti? rtvslo.si/slovenija/bost… Ta zapis je treba komentirati, kljub temu, da je izjemno površen in daje zelo slabo sliko novinarskega dela. To je verjetno tudi razlog zakaj je novinar anonimen.

Ne vem, če je dobra ideja, da načrtovanje vsebine specializacij in upravljanje z licencami prepustimo političnim oportunistom na MZ. Zanima me mnenje @zdravniska . O idejah za povečanje zanimanja za UM pa škoda besed. @PetravicLuka je s svojo raziskavo pismenim vse povedal.

Pocutim se skrajno ponizno. @MinZdravje smo na sestanku jasno obelodanili hiranje urgentne medicine. 25 % vseh urgentnih je slo ven iz urgetne. Beg v druzinsko medicino NI RESITEV! Resitev je v odgovoru, zakaj je 1/4 vseh urgentnih zapustila stroko. n1info.si/novice/sloveni…

Zabeležim, da konec leta 2025 preverim, kako daleč smo. Poenotenje NMP je nujen korak, upam, da ideja seže preko PR predstavitev. 5 minut pred konec mandata so pričakovanja žal nizka. Še to: brez rešitev UC-jev, bo to samo Zavod za odlaganje bolnikov v prenatrpane hodnike.

@vladaRS Najprej pripeljite 300 specialistov urgentne medicine, da vam bo kdo pregledoval vse te silno triažirane in dispečerirane bolnike! (FOTO) Opozorila urgentnih zdravnikov: "Urgentna medicina je žal klinično mrtva" share.google/LmeX0lJx5xCh3W…

Ne razumem smisla, da bi se kdo, ki je izkušen specialist urgentne medicine, odločil za dodatno specializacijo v družinsko medicino. Namesto razvoja karierne poti, ki bi omogočila izkoristek izkušenj, se spodbuja menjavo specialnosti. #Echobox=1751915561" target="_blank" rel="nofollow noopener">n1info.si/novice/sloveni…

Urgentni center UKC Maribor tudi letos aktivno sodeluje v okviru Art Kampa! V torek smo na promenadi uspešno izvedli prve delavnice prve pomoči. Vabljeni, da se nam ponovno pridružite: 🚑 26. 6., med 16.00 in 20.00 🚑 27. 6., med 10.00 in 13.00 #UtripSrčneSkupnosti ❣

Today is the day of everyone,working in the field of Emergency Medicine. I am proud to provide emergency care beside you all and I wish I could remove the bad juju,connected to EM (unpleasant consultations and insults, boarding in ED, failure of the system, burnout) and 1/2

have only the good remain - a great field of medicine, great teamwork which provides results, instant results with patients and the satisfation that you helped someone who needed you. Happy EM Day! 2/2

(DAN URGENTNE MEDICINE 🚑) »Ponosni, da vam lahko pomagamo« je letošnje sporočilo ob svetovnem dnevu urgentne medicine. »Ko je življenje na nitki, cela ekipa stopi skupaj,« a se kljub temu večkrat vprašaš, ali si vse naredil prav oziroma ali si ravnal po svojih najboljših močeh, pravi specialistka urgentne medicine Marjanca Matvoz, v. d. predstojnice v Urgentnem centru Splošne bolnišnice Slovenj Gradec in edina zdravnica, ki je na urgenci zaposlena za polni delovni čas: »Utrujen zdravnik, utrujena sestra, utrujen zdravstveni delavec, ki dela preko svojih zmožnosti, ne more delati tako dobro, kot zna.« Zaposleni v urgentnih centrih poudarjajo: če bo sistem dober za tiste, ki v njem delajo, bo dober tudi za vse, ki v njem iščejo pomoč. Več: zdravniskazbornica.si/informacije-pu…

Today is International Nurses Day. Very grateful for such wonderful coworkers, emergency medicine is a prime example of optimal teamwork and I am grateful for my coworkers - thank you for being so awesome!

Forgive me. Emergency medicine is at an inflection point. The world changed. The systems cracked. The silos failed. And the question now is: who’s going to step into the space between them? We’ve been trained to stabilize and move on. But what if our greatest value now isn’t just what we do in the trauma bay—it’s our ability to connect the dots between specialties, systems, and patients who don’t fit cleanly into anyone else’s box? We’re not just responders. We’re the last generalists in a hyper-specialized world. And that makes us essential—if we’re willing to evolve. I was talking to residents today about vertigo. The classic EM riddle: central or peripheral? Dix-Hallpike or MRI? Neurology or not? We’ve spent years trying to optimize this—algorithms, risk scores, red flags—but we’re still mostly guessing, and our outcomes haven’t meaningfully improved. Why? Because the problem isn’t diagnostic precision—it’s systemic fragmentation. These patients don’t need a 10-minute dispo. They need continuity. They need someone who sees the terrain, not just the chief complaint. And that someone could be us—if we stop pretending our job ends at disposition. The pandemic shattered the illusion that medicine was a smooth machine. It exposed every crack: access, communication, follow-up, bias, burnout. But it also created a once-in-a-generation chance to redefine our field. We are no longer just gatekeepers to admission or discharge. We are uniquely positioned to observe what doesn’t work—and propose what might. Emergency physicians see the seams where systems don’t connect. We feel the weight of patients who don’t belong to anyone. That’s not a burden. It’s a responsibility. Maybe even a privilege. I’ve heard the objections. Caught the arrows from those who would claim this to be “not our job”—I hear the same thing: a desire to stay inside a role that’s rapidly becoming obsolete. But here’s the truth: the future of EM isn’t small. It’s not about “knowing your lane.” It’s about being the bridge. The synthesizer. The person who sees across domains and says, we can do better than this. You’re not training to be just a proceduralist or an admission broker. You’re training to become the kind of doctor who makes the system itself more coherent. Yes, this is harder. It’s uncomfortable to take ownership of things we weren’t trained to fix. It feels safer to defer, to refer, to say “not my job.” But if we believe in the value of emergency medicine—not just as a specialty but as a mindset—then we have to be willing to let it grow. We have to pick up the cases no one else wants. We have to tolerate ambiguity. We have to lead. You want to know what makes a great emergency physician in 2025? Not just fast hands or encyclopedic knowledge. It’s the willingness to carry complexity. To stay in the messy middle. To lead from the seams.

na @MinZdravje in javnosti smo naslovili Odprto pismo, v katerem izražamo skrb nad napovedanimi (ne)ukrepi v Sistemu NMP. V @SekcijaUM si prizadevamo za razvoj Sistema, ki bo vsakomur omogočal pravočano in potrebam skladno nujno medicinsko pomoč, zaposlenim pa dočakati pokoj...

Sem brez besed. Boljse vprasanje bi bilo, kako nove generacije privabiti v urgentno med. Ideja, ‘ko izgoris, gres lahko v druzinsko”, je najprej hudo zaljiva do kolegov druzincev. V UC izgorevamo, ker ljudi NE MOREMO SPREJEMATI in zaradi kreganja. n1info.si/novice/sloveni…

Realnost vseh, ki delamo v UC @UKCMaribor . Kolumna dr. Strdin Košir jasno o patologiji in stagnaciji 🇸🇮 zdrav. sistema. Vsi blebetajo o zdravstvu. Leta cepetamo na isti točki in se ne premaknemo. Nujno branje za vsakega z volilno pravico! vecer.com/v-soboto/kolum…

(URGENCA) Nov zastoj na mariborski urgenci: Reševalna vozila so v koloni čakala pred vrati urgentnega centra. O kriznih razmerah na urgenci @UKCMaribor piše @JanaJuvan. vecer.com/maribor/aktual…

Stresel sem nekaj besed. (DNEVNIK) Rok Petrovčič: Predlagamo, pišemo, apeliramo ... Kričimo! vecer.com/v-soboto/dnevn…