Peter Ellis

@KatPaton13 I can understand it feels a bit odd. However some will potentially have contributed largely to taxation for most of their lives so in essence are intentionally 'double paying' for the same service.

@AbbieTBee Paranormal

@PMccoubrie As an EM consultant I don't mind reading the gumpf. Although more annoyingly reports with no summary - that's just rude.

An appeal to my fellow radiologists: Stop writing odd, highly technical or obscure normal findings in reports Can you imagine a physician writing a letter to a GP saying: “The patient has cerulean blue irises, 5mm pupils and type 5 eyebrows” It adds nothing and just confuses

@AlexNevard Armed police outside the department

Poor prognostic indicators for the shift you are about to have in the ED. More police cars than ambulances in the parking bays HEMs are in the coffee shop queue. You've received a text asking for locums on the shift you're working. Any others?

@LawrenceDunhill 1. It's really depressing that the focus is on 76%. This will inevitably focus effort on the 'quick wins' and discharged patients. Meanwhile there is deafening silence about the utterly miserable 12 hour (from time of arrival) stays.

Sadly sounds like every emergency department in the country. @NeilNjtg123

An amazing opportunity to work in Salisbury NHS Foundation Trust! Come join us! @SalisburyNHS @JudyDyos @SalisburyED1

Pff. Consultant of 3 years... Still drive a hand me down nissan Micra and a super exciting Renault captur.

Exciting time in my department. Looking forward to expanding our Paediatric ED Team ! @SalisburyNHS @JudyD95446599 @TeamSarum @SebJGray @SalisburyED1

@RCollEM @UKCPA @ParkinsonsUK @RCEMpresident @NeilNjtg123

🚨NEW #SAFETYFLASH🚨Time Critical Medication (TCM): The Safer Care Committee has highlighted that a MISSED dose can harm your patients. Credit to @UKCPA for poster production - available at: tinyurl.com/TCMSafetyFlash For more ℹ️ rcem.ac.uk/safety-3/

@NeilNjtg123 @DrRobgalloway Brilliant and very apt!

@DrRobgalloway @EllisPeter84

We need to solve the overcrowding crisis in A&E. I may have the solution! It came to me whilst reading my son " A squash and a squeeze" by Julia Donaldson (author of the Gruffalo) A&E Squash and a Squeeze, adapted by Rob Galloway A little old A&E, lived all by itself , with cubicles and chairs and a water jug on the shelf. A wise old health secretary heard her grumble and grouse, “There’s not enough room in my A&E house. Wise old health secretary, won’t you help me, please? My A&E house is a squash and a squeeze.” “Take in your drunk and disorderly patients” said the wise old health secretary man “Take in my drunk and disorderly patients? What a curious plan.” Kept in A&E, instead of a cell, they vomited on the rug, And flapped round the cubicle, knocking over the jug. . The little old A&E cried, “I implore? It was poky before and it’s tiny for more. My nose has a tickle and there’s no room to sneeze. My A&E house is a squash and a squeeze.” And she said, “Wise old health secretary, won’t you help me, please? My A&E house is a squash and a squeeze.” “Take in your awaiting medical bed patients,” said the wise old health secretary man. . “Take in my awaiting medical bed patients? What a curious plan.” Well, the awaiting medical bed patients pulled back the curtains and trod on the bed, ``then sat down to eat via her long term peg. The little old A&E cried, “Glory be! It was tiny before and it’s titchy for more. The drunks attacked the awaiting medical bed patients and the awaiting medical bed patients got fleas. My house is a squash and a squeeze.” And she said, “Wise old health secretary, won’t you help me, please? My A&E house is a squash and a squeeze.” “Take in your awaiting mental health bed patients ” said the wise old health secretary man. “Take in my awaiting mental health bed patients ? What a curious plan.” So she took in awaiting mental health bed patients who kept pressing the alarms in cubicle ten And raising everyone’s blood pressure again and again. The little old A&E cried, “Stop, I implore! It was titchy before and it’s teeny for more. Even the mental health patients in the cubicles agrees, My A&E house is a squash and a squeeze.” And she said, “Wise old health secretary, won’t you help me, please? My house is a squash and a squeeze.” “Open an urgent care centre,” said the wise old health secretary man . “Open an urgent care centre? What a curious plan.” Well, the urgent care centre attracted the 111 referred worried well, Whose long waits created an unpleasant waiting room smell The little old A&E cried, “Heavens alive! It was teeny before and it’s weeny for more I’m tearing my hair out, I’m down on my knees. My A&E house is a squash and a squeeze.” And she said, “Wise old health secretary , won’t you help me, please? My house is a squash and a squeeze.” “Take them all out,” said the wise old health secretary man. “But then I’ll be back where I first began.” So she persuade the police to remove the aggressive men “That’s better – at last I can sneeze again.” They opened up ward beds and she gave a jig “My A&E house is beginning to feel pretty big.” She persuaded the 111 patients to self discharge where safety would allow. “Just look at my A&E house, it’s enormous now”. “Thank you, old health secretary for saving the day, Our A&E is so big now, our staff might just stay. . There’s no need to grumble and there’s no need to grouse. There’s plenty of room in my A&E house.” And now she’s full of frolics and fiddle-de-dees. It isn’t a squash and it isn’t a squeeze. Yes, she’s full of frolics and fiddle-de-dees. It isn’t a squash or a squeeze.

@NeilNjtg123 @karimbrohi @RCEMpresident @JAMA_current @CRYOSTAT_2 @UKREBOATrial @AnnabelED @SHunterED One less thing for me to worry about!

@karimbrohi @RCEMpresident @JAMA_current @CRYOSTAT_2 @UKREBOATrial @EllisPeter84 @AnnabelED @SHunterED

A massive day for UK trauma with the publication in @JAMA_current of two game-changing trauma trials: @CRYOSTAT_2 and @UKREBOATrial. Both turning points in how we understand and treat trauma patients. UK-REBOA: jamanetwork.com/journals/jama/… CRYOSTAT-2: jamanetwork.com/journals/jama/…

SAS Doctors! Steve Black, RCEM's EMSAS Chair, invites you to EMSAS Conference (14-17 Nov), Isle of Man. It will be an exciting event - explore the theme: Emergency Medicine outside of the ED, network & see the legendary TT Course #SASWeek Video link▶️ shorturl.at/ikn56

📺This video is to raise public awareness of the issues our members and patients face in A&Es every day. It explains what’s wrong with the Emergency Care system and the solutions outlined in our General Election Manifesto. Please share and help to #ResuscitateEmergencyCare

@howelltjones @MartieBotha4 @DrLindaDykes @LeechCaroline @clifford0584 @UHSFT @NICEComms @GeriSoc @RCollEM @EuGMSSociety I suspect the thought process will also be heavily influenced by whether presenting at a DGH Vs MTC.

@MartieBotha4 @DrLindaDykes @LeechCaroline @clifford0584 @UHSFT @NICEComms @GeriSoc @RCollEM @EuGMSSociety Completely agree. locally our neurosurgeons prefer acute SDH to age before treatment even with shift, most ICH we would see would be SDH, as IVH would likely end up down the HASU pathway, so BP control less vital, most need only neurobs which care home staff/ virtual ward can do

#GeriatricEmergencyMedicine Results from @UHSFT Post @NICEComms on #headinjury. Low rate of bleeding, bleeding associated with high risk injury +/- clinical signs, time to stop scanning? Can we therefore keep people at home? @GeriSoc @RCollEM @EuGMSSociety #EuGMS2023 #EuGMS

@dr_emmacoombe Yeah childcare hurt from ST2 onwards and that was from the main earner perspective despite great flexibility from my other half

If you're F1/F2 and thinking of having kids, you may not be able to afford to return to work. If you're ST1-3 and returning then unlikely to be worth returning more than 50 or 60% LTFT in the South

An exciting opportunity to join our ED team here @SalisburyNHS ED is a small department that sees about 55,000 patients a year, one big advantage of this is this allows clinicians to see patients across the entire spectrum of emergency medicine every shift. To find out more ⬇️

@Ortho_Cherry @techpriest We have those in our ED for those special occasions that things have to be removed

@techpriest That is horrific. On a totally unrelated note, did you know that all orthopaedic trauma theatres will have bolt cutters lying around for cutting ex-fix pins. What a delightfully useless piece of information for you all.

@CJblue72_ @ShaunLintern Bear in mind most ED training is run through now so this data isnt representative

@ShaunLintern An existential threat to the future of #EmergencyMedicine as we know it perhaps? EM used to be massively oversubscribed. With many trainees choosing to work LTFT and older consultants coming off on call rotas, there’s a huge problem on the near horizon at the very least.

Medical training fill rates by specialty - some good 100% fills but some very concerning vacancies too. These figures are also artificial and don't reflect wider vacancies at consultant level nor do they fit with demand trusts see: #national2" target="_blank" rel="nofollow noopener">medical.hee.nhs.uk/medical-traini…

@gillybean712 If someone isn't listening (in the zone etc) a nice little intervention is to place a hand on a shoulder/arm. The contact will often bring people back into the 'now'.