Carol Darlington

[feminist next door @emrazz]

“That’s when they suspended the constitution. They said it would be temporary. There wasn’t any rioting in the streets. People stayed home, watching their televisions, looking for direction. There wasn’t even an enemy you could put a finger on.”

- Margaret Atwood, Handmaids Tale

[David Hartin @davehartin]

OK. Listen up.

"Rapid Assessment and Treatment" is just a form of words to try and normalise routine "Major Incident Triage" in UK Emergency Departments.

Yeah, I said it.

Prove me wrong.

#ResuscitateEmergencyCare #NHSCollapse @RCollEM

[Carol Darlington @Carol_Darlo]

We need to look after our EM clinicians, nursing and ancillary staff. Without them, the whole system will grind to a halt. You're doing an amazing job, in awful conditions. Keep looking out for each other folks #teamED 💛 @RCollEM

[Royal College of Emergency Medicine @RCollEM]

Everyday A&E clinicians and staff go to work knowing they are likely to be faced with severe over-crowding and not being able to provide the level of care they want to.

Can you imagine the toll that takes?

Dr Luke Craddock has shared what it's been like working in A&E during the 'qaud-demic' with the @Independent

"You know you will go into work and staff will be stressed and patients will be angry and its not going to be a fun time. I go to work every day not wanting to, which is not an ideal frame of mind to be in."

https://t.co/aneW5Sa5k9

[Royal College of Emergency Medicine @RCollEM]

Everyday A&E clinicians and staff go to work knowing they are likely to be faced with severe over-crowding and not being able to provide the level of care they want to.

Can you imagine the toll that takes?

Dr Luke Craddock has shared what it's been like working in A&E during the 'qaud-demic' with the @Independent

"You know you will go into work and staff will be stressed and patients will be angry and its not going to be a fun time. I go to work every day not wanting to, which is not an ideal frame of mind to be in."

https://t.co/aneW5Sa5k9

[Ian Higginson 🌈 @RCEM_VP]

Ambulance drop-and-go policies won’t fix anything in the long run and hide the lack of meaningful action. Hundreds of patients each week are dying in association with overcrowding in EDs. How about fixing the actual problem? @RCollEM 1/3

[Ian Higginson 🌈 @RCEM_VP]

The data is clear, when patients are in corridors, patients somewhere are dying unnecessarily. @RCollEM and our members know overcrowding can’t be fixed overnight but it’s time to stop pretending we can
provide proper safe or dignified care in corridors. https://t.co/xdKczAWGgD

[Alex Nevard @AlexNevard]

Running in situ sim regularly is a good barometer of an emergency department.

If you don't have the capacity to run a sim for your staff because it's too busy, then the problem isn't the sim. It's the staffing model

[Simon Carley @EMManchester]

Excess waits in UK EDs cause as many deaths as one of these crashing EVERY WEEK.

If this was the aviation industry there would be riots, but because it's health care.....

@RCollEM #crowdingkills @RCEMpresident

https://t.co/oqbOBOTnQr

[Ian Higginson 🌈 @RCEM_VP]

Really? Thought needed re framing. No such thing as safe and good quality care in a corridor. Corridor care implies ED crowding. ⁦⁩ Crowding means long waits in EDs. @RCollEM data shows 14000 unnecessary deaths in England alone associated with 12 hour waits for admission.

[Carol Darlington @Carol_Darlo]

Couldn't have put it better myself @walsh_joe why are we normalising this? Heartbreaking and soul destroying for everyone involved in this practice @RCollEM

[Carol Darlington @Carol_Darlo]

#WorldOrganDonationDay if you haven't confirmed your decision yet- get on it! #yes @MidCheshireNHS @ClareHammell

[NHS Organ Donation 💗🫀🫁 @NHSOrganDonor]

It’s #WorldOrganDonationDay, the perfect time to confirm your decision on the NHS Organ Donor Register!

It takes just 2 minutes and you could save up to nine lives. ➡️ https://t.co/Gj8MTsJ9gV

[Carol Darlington @Carol_Darlo]

#lookatwhattheymakeyougive #resuscitateemergencycare
RIP Dr Shaw, condolences to your family, friends, and colleagues

[David Hartin @davehartin]

“Look at what they make you give.”

Vale, Dr Shaw.

Look at what they make you give…

#ResuscitateEmergencyCare

@DoctorsDistress @samaritans

https://t.co/28pCm7O9T2

[Carol Darlington @Carol_Darlo]

@lancscricket @BumbleCricket @wadarl

[Carol Darlington @Carol_Darlo]

Thank you @MCHTSimsTeam for supporting such a valuable session #Simulation #patientsafety

[MCHT Sim Team @MCHTSimsTeam]

What a fabulous day with @Carol_Darlo for our ED drs and nurses. 6 immersive simulations OD, VF arrest, anaphylaxis and seizures- great lessons learnt and amazing support from our SP’s #simulatuion #patiehtsafety @NickyMadeley22

[MCHT Sim Team @MCHTSimsTeam]

After almost 2 years @Carol_Darlo @NickyMadeley22 @MidCheshireNHS @suzannegough1 @missnellyash
We are very pleased to accept your manuscript "Hitting the target and missing the point? A BEME systematic review Guide No. 87" in its current form for publication in Medical Teacher.

[Carol Darlington @Carol_Darlo]

One of the most rewarding parts of my job #simulationbasededucation #patientsafety @MidCheshireNHS

[MCHT Sim Team @MCHTSimsTeam]

Amazing day for @MidCheshireNHS ward 1 nurses, ED staff, IMG Drs & medical students with @Carol_Darlo 7 immersive sims as part of a bespoke training day to care for cardiac pts requiring transfer. #simulation #humanfactors #patientsafety @NickyMadeley22 @AnnaBickerton @Philjw1

[Rob Galloway @DrRobgalloway]

I'm an A&E consultant and I'm tired after a weekend of nights.

But this am, I've handed over what I described as a "good department". This was said genuinely and with no hint of irony.

We provided great care and have very short waits to see an A&E doctor, but I'd forgotten how unacceptable it was to have 18 patients in the corridor, and elderly patients waiting over 2 days for a ward bed.

My lens of what is good and acceptable has been slowly warped by the slow & damaging effect of the working conditions of A&E departments up and down the country.

My biggest worry is that I'm starting to accept the unacceptable.

This is not about a lack of gp appointments, patients "abusing" the system or poor management - in fact we had excellent hospital management support, with patients boarding on each ward waiting there instead of A&E for a bed.

This is a simple case of patient demand being greater than what the overall health economy can cope with.

We have to either change the way we work, change demand via expectation management or increase resources.

If not, then the unacceptable becomes the norm and that's unacceptable.

Our patients and staff deserve better.

[Carol Darlington @Carol_Darlo]

Always try to make decisions your mum would be proud of.

[Graham Johnson @gdj043]

Another late shift, yet another where I've been tempted to call someone's mother...https://t.co/Ze8H4LFPvV

[Carol Darlington @Carol_Darlo]

@bls_pe Any idea about arrival time back at school?

[Carol Darlington @Carol_Darlo]

@MidCheshireNHS @ClareHammell What an amazing effort! There's one day left, let's help the North West Region smash the new stretch target of 92000km💪🩷 @R4R2023