Richard Brook

Australian ACS guidelines 2025 - The OMI has officially arrived! - ED Guidelines. edguidelines.com/australian-acu… edguidelines.com/acs-guidelines…

Our national study found that for every one hour with patients, UK resident doctors spend four hours on admin. In @bmj_latest today, we break down why this isn’t just an inconvenience, it’s a safety risk.  1) Fragmented EHRs → endless copy-paste + re-entering data 2) Trainees turned into scribes 3) Less training, less confidence, less preparedness We suggest: • Reassign admin to allied staff • Joined-up IT that fits clinical workflows • Minimum patient-facing time requirement in training • Clinicians co-designing digital tools If you work in healthcare: what’s one admin task you’d automate or reassign tomorrow? 👇 Your answers might shape the fix-list. Thank you to my co-authors @KaranChhatwal_ @HamaadAKhan and Professor Stuart D. Rosen, and BMJ editors @Juliet_hd and @jolie__neill. You can find the link to the full BMJ piece in the comments. With thanks to @imperialcollege and @bmj_latest

@ross_prager This component of your thread is one of the most useful things I've come across recently. Thank you!

(7/x) One often overlooked tool to determine the hemodynamic impact of rapid Afib - an arterial line. If there are periods where the ECG shows rapid ventricular response but the arterial line does not show corresponding pulsatility, this means that the rapidity of the Afib is likely impacting hemodynamics. In this case, there are only ~13 heart beats in this strip for 33 ECG beats - thus only ~ 1 in 3 cardiac cycles result in ejection. Here, Afib is almost certainly either a contributor or perhaps even sole driver of hypotension. Also notice the narrow pulse pressure, another indicator of low stroke volume.

Rapid atrial fibrillation is common in the ICU. How do you decide whether Afib is driving hypotension or simply an innocent bystander? A 🧵 (1/x)

A great thread that has relevance for anyone working with critically unwell/injured patients.

Calling all #healthcare professionals and students! 🩺 Join us for LNAA's Clinical Governance Day, discussing cases and hearing from expert speakers themed around Pre-hospital Management of Neurosurgical Emergencies. 📅 25 January 2024 👉 ambucopter.org.uk/clinicalgovern… @lnaacrew

@hannahmillana If your local ambulance service or BASICS charity runs a Community First Responding scheme, then I found this a great way to gain exposure to the environment and the patient group within a good governance structure.

are there any FY3 jobs in pre-hospital medicine? (not specific jobs but does an OOT-SHO role exist within pre-hospital medicine or is the job role not there yet?) 6 months JCF in ICM and 6 months in PHEM sounds preeeeetty naughty i won’t lie 👀

📢 @RCEMpresident warns the winter plan is "insufficient". The plan pledges 5,000 additional general & acute beds, but these were originally promised in January as part of the UEC delivery plan - since January there are actually 1,841 fewer beds 📉. @Independent

A record 170,000 staff left the NHS last year It doesn’t matter how many NHS staff the government say they will recruit Without better working conditions they will continue to leave in their droves and there will never be enough Please RT if you agree theguardian.com/society/2023/j…

✅Summary of Important RCTs in ICU for the First Half of 2023! Quickly summarize the intensive care RCTs published from January to June this year! Specifically, 13 trials in NEJM, JAMA, and Lancet! I hope this 🧵 is a useful review of important literature👇👇 #FOAMcc

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@medicluke You're so dramatic 😂

The anaesthesia equivalent of secretions obscuring your view on the video laryngoscope….

Please visit @stemlyns to read about Max and the reasons why we need the AMAX4 algorithm in anaphylaxis/asthma. I promise you'll learn from this tragic story. Thank you Ben and Tamara. Joining @DFTBubbles @LITFLblog to get the learning out there. stemlynsblog.org/just-a-routine…

@GNairambulance @samfendermusic We gave you a wave guys 👍

@aedbthft @bthft_od @EmmaClintonAED @windle_tania @BTHFT Looks great!

Our lovely new staff room! In the current climate it is really important to encourage down time and a relaxation space for our staff! our brand new staff room #StaffWellBeing @bthft_od @EmmaClintonAED @windle_tania @BTHFT

@Jen_Taylor2 Feel like I'm missing out!

I’ve written in detail about the doctors’ strikes in @PrivateEyeNews this issue. Here’s a taster on why @Jeremy_Hunt needs to sit down and re-read his own book, and @SteveBarclay needs to sit down and negotiate with junior doctors.

@bigjimble It's glorious, unlikely to be read by anyone who can make any changes though

@TheResusRoom @robfenwick @heli_med_james @Nrtaylor101 @laing_simon @RichBayli55 @wezroberts

24 hour competition! Free tickets to one lucky winner to our upcoming conference + sedation + cardiac arrest masterclass Just •give this a retweet and like •register for free CPD membership •tag 2 friends below We’ll contact the winner tomorrow! theresusroom.co.uk/courses-events/

A quick link to the new @NHSGIRFT national pathway for suspected #CES. It describes when, how and where they should be worked up, when to refer to spine team and timing of intervention. #MorningPaper @Imperial_EM @neuro_at_ic @e1v1m1 @BASStrainees gettingitrightfirsttime.co.uk/wp-content/upl…