ITERN

Don't miss out! We are still looking for NCHD Site Leads for the departments below to join our PRe-EMPT study : Naas Kilkenny Mercy Northern Ireland Apply link above! #PREEMPT

Calling all EM Doctors! To kick off the year, ITERN is thrilled to announce our first project of 2026: Paediatric Trauma Readiness in Ireland We are looking for NCHD Site Lead for their respective ED! Apply here: docs.google.com/forms/d/e/1FAI… Visit our website for more info #PREeMPT

With appreciation for the year past, we look forward to continuing the journey in 2026. Sincerely, your friendly ITERN Committee!

The UK @ternfellow EDcorridor study is out! Key points 1. 1in5 are treated in ED escalation areas (eg corridors) 2. 10-25% of EDs have no available resus cubicle 3. The problem/solution is flow. More patients waiting for beds in ED than in corridors. doi.org/10.1136/emerme…

#May2025 Emergency clinician perceptions of end- of- life care in Irish emergency departments: a cross- sectional survey "Education and infrastructure are potentially modifiable barriers to the provision of EoLC in Irish EDs as shown in this study, but the findings are likely similar to international EDs. Targeted improvements are likely to improve not only the standard of care but also the confidence of clinicians providing this care." 1. Confidence Improves with Experience 🧠 Only 32% of clinicians with less than 5 years’ experience were comfortable discussing EoLC. 📈 In contrast, 80% of those with more than 10 years’ experience felt comfortable. 2. Communication Gaps Exist 💬 Less experienced clinicians struggle with addressing family questions and discussing spiritual beliefs. 🧑‍⚕️ Confidence in supporting decision-making increases significantly with years in emergency medicine. 3. Infrastructure is Inadequate 🏥 Only 11.6% of clinicians agreed the ED physical environment is conducive to good EoL care. 🚪 Just 23.5% agreed that suitable rooms are allocated for dying patients. 4. Limited Access to Training 📚 Only 20% of EM clinicians reported receiving formal training in EoL care. 📉 75% reported little to no knowledge in this area. 5. Debrief and Support Are Rare 🧑‍🤝‍🧑 Only 32.2% agreed that routine debriefing and feedback occurred after a patient death. 💔 Emotional support services like pastoral care were often unavailable or unknown. 6. Strong Desire for Education 🎓 Clinicians expressed a clear need for further training in communication, symptom control, and advance care planning—regardless of experience or site size. Read here 📖 emj.bmj.com/content/42/5/2… #EMResearch #PalliativeCare #MedEd #EndofLife #EmergencyMedicine @RCollEM @ITERN_

We are now on Instagram 📸! Give us a follow and share some love instagram.com/itern.ie Keep up to date with our news on the socials or visit itern.ie for more info!

JOIN THE TEAM! ITERN introduced new faces in 2025 and we want you to join us! Are you an EM NCHD that is currently not on any training scheme? Do you want to be part of a dynamic, collaborative network that's making a real impact in Ireland and beyond? If so, email us now 🤓!

@ed_tuh @SVUHTrauma @EMedSligo @EIRN_Ireland @REDSPoT_IE @ConnollyED2 @MMUHED1 @CHIatCrumlin @TempleStreetHos

CALLING OUT! Do you have research idea that could be done in multiple sites? Is there a research question in Ireland you would like answered? We are now calling for projects! Submit your proposals to: forms.gle/AMxpAwdPX2ua4A… @IrishEMtrainees @AssocEmergMedIE @ternfellow

Did you catch the ITERN updates by @JeffreyMulcaire and @JeeMarcus in #25IAEM this morning? Visit us at itern.ie for more info!

Andrew Ngaditono (Tallaght University Hospital) Lisa Sibthorpe (Midland Regional Hospital Tullamore) Conor Prendergast (Children’s Health Ireland, Crumlin).

Matt Casey (St Vincent’s University Hospital) Jessica O'Connell (St Vincent’s University Hospital) Roisin Ni Dhonaill (St. Vincent's University Hospital) Alsomoal Ali Alhaj (Portiuncula University Hospital)

🚀📷 Thrilled to announce our latest research on chest drain complications in the ED is officially published in the @IMJ_IRL !! 📷imj.ie/prevalence-of-…📷A huge shoutout to the incredible team that made this happen! #EmergencyMedicine

The episode on EMJ Podcast! open.spotify.com/episode/4Jd6jz… and the paper by @jamesfoley273 @timburgD @saemasaeed @drconordeasy @JeffreyMulcaire & owenkeane emj.bmj.com/content/42/5/2…

Thank you to @EmergencyMedBMJ for featuring our article on this months podcast! with Dr Sarah Edwards @drsarahedwards and Rick Body @richardbody emj.bmj.com/content/42/5/2… A real team effort from @IrishEmTrainees around the country! #May2025 #Podcast #OutNow

Wilma's PRIME study held its first semi-structured consultant interview with Mr. B from GUH. We discussed access to critical procedures exposure for EM in the current climate. Learn more at itern.ie/?p=612.