Sean Fleming

My submission to the Public Consultation of the National Review of Specialist Cardiac Services. Networked cardiology care is vital. But Irish hospital groups are not optimally structured to deliver on shared consultant appointments or shared patient care. dropbox.com/s/lirn5wolbsd3…

@drjohnm I too hold out the hope that public critical appraisal will win the day. Public critical appraisal won't be referenced by guideline writers. The topline of this trial enters the record and will inform practice. What is the @NEJM for?

This Week in Cardiology podcast coming this afternoon. Five big trials from #ACC26 I've never gone more than 40 minutes but it's never been more necessary to look under the hood of these trials. Details matter, lest you be bamboozled Let me know what you think

What an incredible first day at #MIRCIM2025! 🌟 📷 ♥️THANK YOU to all participants, speakers, guests, sponsors, and partners who made today a true success. Stay tuned for more updates and memorable moments! #MIRCIM #ThankYou #InternalMedicine #MedicalEducation

In case any of you thought that my social advocacy interest was just for the #Seanad2025 campaign well…happy to share the news that I’m off to Kitale, Kenya to help commission the new eye hospital. Transcend Eye Hospital will have at least 2 staff eye surgeons and we are doing an intensive training initiative with clinics and surgery next month.

Day 1 of our 4th enhanced induction training day @PortiunculaHosp in conjunction with @NDTP_HSE @HSE_NSO @RCPI_news @HSE_West_NWest @GUHAcademic @ReginaMDowling #patientsafety #SBE

“It is not inevitable that so many people will be killed or maimed for life. It is a political choice”. - @EamonRyan

Well done to @smitha_joy and all our MDT colleagues launching NCG No 21 Appropriate Prescribing of Psychotropic Medication for Non- cognitive Symptoms in People with Dementia @MRHP

2024 Annual Climate Statement: 👉Fourth warmest year on record 👉Below average rainfall for most, wettest in the South 👉Dull overall, sunniest in the East 👉Violent storm force winds were reported during storms Isha and Darragh More details here - met.ie/annual-climate…

Michael Madigan, Patient and Public Interest Representative on the Irish Heart Attack Audit Governance Committee and Cardiac Patient and @Irishheart_ie Advocate speaks this morning from the perspective of the patient. He emphasises the importance of a on public awareness campaign regarding heart attack symptoms and the importance of calling 999 or 112 immediately, so patients can get a pre-hospital ECG, and get to the right hospital at the right time. 🔗Further details on this year's report here: noca.ie/documents/iris… #HeartAttack2024 #ClinicalAudit

🚨 Dr Ronan Margey, Clinical Lead for the Irish Heart Attack Audit now presents the key findings and recommendations from the Irish Heart Attack Audit National Report 2022 and 2023. He highlights the achievements and challenges in heart attack care in Ireland: 🫀 3,102 STEMI cases analysed; 77% male (median age 62), 23% female (median age 69). 📉 Only 55% of patients brought directly to specialist hospitals by ambulance. 🚭 35% of patients smoked at the time of their heart attack, almost double the national average. 🩸 46% had a history of high blood pressure. 🩺91% referred for cardiac rehabilitation in 2023 (up from 57% in 2022). 🚑 Timely PCI improves survival: 79% received timely care when arriving directly vs 45% from transfers. Public awareness campaigns on recognising symptoms and calling 999/112 can save lives. 🔗 Full report here: noca.ie/documents/iris… #HeartAttack2024 #ClinicalAudit

Launch: Irish Heart Attack Audit National Report 2022 and 2023 Joan McCormack, Cardiovascular Audit Programme Manager at NOCA opens the webinar to launch the Irish Heart Attack Audit National Report 2022 and 2023 this morning. This is the 3rd national report evaluating care provided to patients with major heart attacks in Ireland. The audit has collected data on over 20,000 patients since 2017. 🔗Further details on this year's report here: noca.ie/documents/iris… #HeartAttack2024 #ClinicalAudit

Two papers. On the left, a non-randomized, non-crossover study showing that a one-off sauna exposure significantly decreased arterial stiffness, with implications on cardiovascular health. On the right, a randomized, crossover (more robust) study, showing no benefits on arterial stiffness or blood flow. Note the colossal difference in Altmetric score and media attention. The media favors sensational but flawed studies over rigorous ones, distorting public understanding. #science #media

Well done to all involved for launching Emergency Early Warning System at #MRHPortlaoise Emergency Department @Save_MRHP @HSEDubMidlands @OliviaLafferty7 @fiona_moore11 @maurakeoghrice @Cunlayp

📢 Registration is now open! Join us on the 10th December from 11:00am-12:30pm for the launch of the Irish Heart Attack Audit National Report 2022 and 2023. We’ll explore the key findings and recommendations arising from the report, as well as quality improvement initiatives which are improving heart attack care across Ireland. The full agenda and registration link is available here 🔗 noca.ie/news-events/re… #ClinicalAudit #NOCA2024 #HeartAttack2024

Congratulations to all the nominees and winners of the 2024 Heart Awards here at MRHP 👏👏👏 @fiona_moore11 @paudie69 @clairehylo @keatmgt @HSEDubMidlands @susansa55287634

Dr Michelle Sugrue (Integrated Consultant Endocrinologist) giving update on the upcoming Community #Diabetes Hub in CHO8 area at Diabetes & Endocrine Meeting at #MRHPortlaoise @Save_MRHP @HSEDubMidlands

Multidisciplinary simulation session on a deteriorating patient in #MRHPortlaoise by Dr Popoola @Cunlayp (ED consultant), Dr Kyithar @PyehK (Physician/Endocrinologist) & Ms Olivia Foster (Resuscitation Officer) yesterday. Well done to everyone who participated in simulation

Glad to run multidisciplinary sim session with colleagues #MRHPortlaoise @Save_MRHP @HSEDubMidlands. Well done everyone!

The sad reality of living with serious illness as explained by the wife of a man with MND in @IrishTimes Assisted living before assisted dying @OdohertyI64991

This is big. The UK Charity Commission has directed that Mermaids - the single most influential activist group regarding child transition in the UK - must "have regard to the findings, conclusions and recommendations of the Cass Review.” 1/6 gov.uk/government/new…

One of the things I like LEAST about the PA debate is the construction of 'ward work' as somehow being the WORST work. Stuff that it is somehow not really the job of a doctor. How can looking after the sickest pts be considered the least skilled work?