Dr Russell Gritton

Emergency Medicine registrar in north east London. Interests in EM, Community EM/PHEM, and Trauma. LGBTQIA+ health. Professional account. he/him 🏳️‍🌈🩺

[Dr Russell Gritton @DrRussellG]

Hi friends! It’s twitter’s favourite casualty officer here. Using this for medical/career stuff, education, and all the things I used to use the other account for in years gone by.

Nice to see you all! x

☺️🩺🏥

[Community Emergency Medicine @CEM_LDN]

We’re recruiting for doctors to join our Community Emergency Medicine team from August 2025.

If you’re an EM doctor keen on seeing EM from a different perspective please take a look (can be OOP-T).

Happy to take questions here ☺️

https://t.co/ejibN2kFnc

[Community Emergency Medicine @CEM_LDN]

allowing for more personalised, accessible, and patient-centered emergency care.

This model is particularly beneficial for vulnerable populations, reducing the need for hospital visits and enhancing healthcare outcomes.

[Community Emergency Medicine @CEM_LDN]

This approach aims to bridge gaps in traditional hospital-based emergency services by providing timely, high-quality care at home, in the workplace, or in other community settings. It encompasses the full spectrum of A&E interventions, from urgent diagnostics to acute treatment

[Community Emergency Medicine @CEM_LDN]

Community Emergency Medicine is a new and evolving branch of emergency medicine that focuses on delivering comprehensive accident and emergency (A&E) care directly to patients in their own environments.

[Community Emergency Medicine @CEM_LDN]

We’ve developed this pathway in conjunction with our local oncology teams and their chemotherapy hotlines. Each case is discussed with that patient’s named team to ensure joint decision making (patient/onc/CEM) and appropriate governance and follow up of bloods and patient.

[Community Emergency Medicine @CEM_LDN]

As a team we have the ability to deliver a team to make a face to face assessment in the patient’s home, deliver the full package of usual emergency department care, and potentially keep the patient in the “protective” environment away from patients with communicable diseases.

[Community Emergency Medicine @CEM_LDN]

Part of community emergency medicine is working out which groups of patients we can make a particular difference in.

We think cancer patients at risk of neutropenia are a cohort where we can change the trajectory of emergency care.

[Community Emergency Medicine @CEM_LDN]

Our team on the road is a collaboration between a senior EM doctor and a pre-hospital clinician from the ambulance service, often alongside a senior EM nurse.

We are also helped by a CEM consultant accessible via phone for advice and a management team at base for ops support.

[Community Emergency Medicine @CEM_LDN]

They can offer video consultations, referral onto community resources such as rapid response teams or virtual wards, and if deemed appropriate following discussion with a CEM consultant activation of our team to assess the patient face to face.

https://t.co/o7xh7LnstU

[Community Emergency Medicine @CEM_LDN]

To deliver a CEM service we need a sprawling team.

We are proud to work with the Remote Access Coordination Hub at @NHSBartsHealth.

This is a group of EM clinicians who take calls from ambulance crews and community resources to offer advice and novel care pathways.

[Community Emergency Medicine @CEM_LDN]

Identifying which patients will benefit from being seen by a CEM team is challenging.

We have excellent links to a number of community and in hospital groups and discuss referrals throughout the day to work out who we can add value to and who we can signpost to another team.

[Community Emergency Medicine @CEM_LDN]

A helpful definition of CEM by @tonyjoy81 during his and Dr Shal Kanagaratnam’s talk tonight for @FPHCEd on community emergency medicine.

@RCollEM @LDNairamb

[Community Emergency Medicine @CEM_LDN]

➡️ PRU website: https://t.co/FTMtpT5cCy

➡️ CEM podcast: https://t.co/REAIA7nfuO

➡️ CEM 2020 landmark paper: https://t.co/Un9EhuCl1s

[Community Emergency Medicine @CEM_LDN]

We believe we can add value to any patient in the community no matter their medical issues, social set up, demographics, or location.

However we have some groups of patients who will gain particular value from our work and we try and get to them as much as we can.

[Community Emergency Medicine @CEM_LDN]

Community Emergency Medicine is an emerging method of delivering the full complement of EM care in the community - “taking the emergency department to the patient”.

We will use this account to highlight the discipline as a whole with a focus on our model in north east London.

[Tony Joy @tonyjoy81]

Join the excellent Dr Shal Kanagaratnam and myself next Tuesday 7pm to hear about and discuss Community Emergency Medicine. Register below ⬇️

[prehospitalcare @FPHCEd]

⏰FPHC Webinar | Community Emergency Medicine⏰

This webinar will cover key concepts, workforce development, impact data, novel clinical pathways, and a holistic approach to emergency patient care🚑

#CEM #EmergencyMedicine #FPHC #RCSEd

Register here: https://t.co/tCloqAakOg

[Jonathan Jenkins 🚁 💙 @j0nathanjenkins]

Have been a patient of the PRU so have witnessed just what they do so brilliantly. Thanks for the shout out, Raj.

[Dr Russell Gritton @DrRussellG]

Thank you so much for posting this and glad we were able to help your mother - I hope she’s doing well.

A vitally important message about the funding issues and inequity of access to innovative community EM resources.

@wesstreeting @DHSCgovuk

[Rajeeb Dey MBE @rajdey]

Please help share awareness of the great work of Physician Response Units - their funding is being cut by ⁦@BHRUT_NHS⁩ so from Wed they won’t be able to serve London Boroughs such as Havering Barking and others; hope ⁦@wesstreeting⁩ can help https://t.co/eA7LQqHjlF

[Rajeeb Dey MBE @rajdey]

Please help share awareness of the great work of Physician Response Units - their funding is being cut by ⁦@BHRUT_NHS⁩ so from Wed they won’t be able to serve London Boroughs such as Havering Barking and others; hope ⁦@wesstreeting⁩ can help https://t.co/eA7LQqHjlF