ian erskine

@RCEMpresident @gordonm1les @CUH_NHS I would be more worried about tweeting while under the influence of orthopods...

@gordonm1les @CUH_NHS A good friend has warned me about tweeting while under the influence of opioids.

Damn. Perils of cycling on gritty roads. Will be out of action for bit. Care has been excellent at @CUH_NHS though none of my colleagues wanted to do the FIB block and debated orthogeriatric referral 😳

@PharmaFactz IV flecanide

🔳 DRUGS THAT CAUSE METALLIC TASTE. 🟣 metformin 🟣 metronidazole 🟣 captopril 🟣 allopurinol 🟣 lithium 🟣 thyroid medications 🟣 clarithromycin

Some upper limb casting teaching for our C25 medical student cohort today! Experiencing what the pt does is impt learning! @qubscrubs @QUBelfast @RCollEM

@SligoSim @TEAMSUH @GalwayICAPSS @CNMESligo @NMPDUNorthWest @clairedmcguire @Teresadt22401ie @EMedSligo @resus2222_suh Good job! Make sure you SIM what happened with us yesterday in CT scanner beside ED when something pulsey was accidentally biopsied resulting in a rather unwell patient into resus with zero warning 🤔

Time matters!!! @teamSUH effectively and efficiently managed a stroke this am in ED, using tools and protocols however, knowing how to prioritise is 🔑 , with excellent pt centred care and inclusion. Fantastic 👏🏻👏🏻 @GalwayICAPSS

UU medical students experiencing what the patient does when we apply a short arm or metacarpal plaster cast in #antrimED. (And how noisy it is to remove!) @UlsterUniMed @markataylor16 @RCollEM

Our first Ulster University medical students in #antrimED applying suture learning into suture practice! (Posted with pt consent) @ulsterunimed @RCollEM @markataylor16

@catjpat @MaterTrauma @ThePillarDublin Very few of them seem to be watching the rsi...

Faculty Demo at ETC Dublin ⁦@MaterTrauma⁩ ⁦@ThePillarDublin⁩ Preparing to RSI a polytrauma patient with TBI, chest injuries and femur #. Setting management priorities using a shared mental model

Yesterday smashed our #antrimED highest attendance record - 379 in 24 hours. '22 daily av was 258. Along with 50+ trolley waits all day. Staff exhausted but still providing great care! @RCollEM @EmergNursesNI @EMedSligo @millarwilson

@dr_babu ? early Kohler's disease

@jillstaffy We have had several patients wait in ED longer than 8! Days for an inpatient bed. How can you explain to a family why 8x~75 (daily admission number) other admissions I e. 600ish patients have been placed ahead of them during this time? @EmergNursesNI

@pounderexpress ? Pantheon roof Enjoy the match later!

@markataylor16 @annermcmurray Mark there is nothing wrong with being overweight . Once you are past the denial phase it gets easier. 👍

@andrew_neilly @drdavyg Andy - you are the one and only 'Plaster Master' so don't be worrying about that. There are also loads of new staff who have never seen the awesomeness of Prelude slabs and think TPS refers to tyre pressure sensors! @saraelaine1

@iersk @UlsterUniMed @qubscrubs @drdavyg Looks like I could be out of a job lol

Some of our QUB 3yrs enjoying their practical procedures SSC in #antrimED. Looking forward to hosting @ulsterunimed students for the first time later this year! @qubscrubs @drdavyg

#antrimED had biggest no. of paeds attendances in 24 hours EVER yesterday. 40% of all attendances were under 16. The usual is 22%ish. This made it our busiest Sunday on record! #teamwork @jenniferwelshbt @RCollEM @EmergNursesNI @millarwilson

@RCEM_VP @mattdiscombe @RCollEM @RCEMpresident in Northern Ireland the clock starts when the patient is registered in ED - 4hour performance recently has ranged from 20-60% but usually in the 40% bracket in our Department

@mattdiscombe Sadly Matt the real picture is even worse. The 12 hour data is only from “decision to admit”, not from when the patient arrives. The real number is much higher, and each number is a patient. Sad lack of willingness to show and tell the whole story. @RCollEM @RCEMpresident

BREAKING: Performance against the 4 hour target at main A&Es were the worst on record in November. 54.5% of patients were admitted/ transferred/ discharged within 4 hours in Nov, down from 54.8% in October.

@PourquoiJD The lesser risk of cohorting in a space AFTER seen and treated in ED (Ward) versus accepting and facilitating cohorting patients before seen and treated building in more delays/ crowding /harm. Decongest EDs and offload ambulances to right place first time without delays 🤔

@BBCNewsNI @mlchealth I think these areas for elderly patients to prevent them waiting in ambulances outside ED for hours on end are perhaps known as inpatient beds........... #bedcapacity @mb_nias_cex @jenniferwelshbt

Health trusts have been advised to create areas for #elderly patients to prevent long waits in ambulances ⏳ @MLChealth bbc.in/3hBn7Cq

@rita_rdevlin29 @RCN_NI @NorthernTrust Glad to meet you too Rita and reinforce what a fantastic job our nursing staff in #antrimED are doing in the face of massive adversity. (And the Docs too 👍) @millarwilson @w_magowan @saraelaine1

@RCN_NI . Thanks to the nurses in @NorthernTrust emergency department for taking time to speak to me today and explain the pressures they are under. I fully appreciate the work they do and and the RCN will work tirelessly to make their working lives better

@RCollEM @TOXBASE It's good to see how well you value Northern Ireland. Not. #BrexitReality @mlchealth @VP_NI_RCEM

🚨There has been an update to @rcollem @TOXBASE Category C antidote arrangements: rcem.ac.uk/wp-content/upl…