Matthew Snowsill @mattsnowsill.bsky.social

London EM Consultant |
@ACCESS_London1 Consultant |
Post secondment with @LDNairamb | @ResusMasters grad |
Founder & Lead: @PHEMFeedback
💚🚁🚑

[Matthew Snowsill @mattsnowsill.bsky.social @MattSnowsill]

Beyond thrilled to see @PHEMFeedback single site, 12 month pilot data from 2018-2019 at @NHSHarlow with support from the @panel_patient published in @_theBPJ_
My first publication & I'm so grateful to @_Grace_Allen_, @RoseTintdScrubs and Talia the co-authors, and wider team!
1/

[PHEM Feedback - also phemfeedback.bsky.social @PHEMFeedback]

Very grateful to the reviewers and editorial teams at @_theBPJ_ for their support through the publication of our pilot data from 2018-2019

Article here
https://t.co/7o6kyyIQiE

[Matthew Snowsill @mattsnowsill.bsky.social @MattSnowsill]

@Anisocyte "Please take responsibility for the outcomes of clinical decisions based upon information you haven't gathered"
There's a middle ground but I'd always want to corroborate the content collated by another source directly with the pt & get additional nuance specific to the decision

[DrZaf @sportsdrzaf]

After yesterday’s brilliant performance but disappointing result, today’s bus parade was the perfect antidote.

Seeing people of every race, colour, religion, age and background come together in celebration was a reminder of what football — and London — should be all about. COYG

[𒊓𒅂𒁓𒐗𒐕𒐗 Steve the skeptic @sib313]

A huge NHS problem:
"...a significant proportion of activity may be generated not by new need, but by the system failing to meet existing need the first time."
That's failure demand.
https://t.co/5z1aN19blP

[𒊓𒅂𒁓𒐗𒐕𒐗 Steve the skeptic @sib313]

@mattdiscombe What possible benefit comes from a separate (and probably more game-able) metric for those treated in corridors? If they focussed on reducing 12hr waits (as opposed to not letting them get worse, which is current strategy) the would improve the problem.

[cmbftbl @cmbftbl]

Bukayo Saka YOU ARE A PREMIER LEAGUE WINNER FOR THE ARSENAL

[Guillem Balague @GuillemBalague]

Congratulations to all the Arsenal fans and in particular one

@M8Arteta put the club on his shoulders, trusted the process, and shaped everything around him. He never doubted that, at some point, despite, and because of, the endless hours of work, the big rewards would come.

Here it is 🏆

[🚨The Celebration Police🚨 @PLCPolice]

Arsenal celebrating like they’ve won the league

[Arsenal @Arsenal]

This belongs to all of us.

[Mike Abernethy 🇺🇸 @FLTDOC1]

UK HEMS - a very different profile compared to the "average" US HEMS program.
Also, not mentioned, there are zero single engine helicopters used for HEMS in the UK.
(<4% of US HEMS programs staff with physicians)

https://t.co/8ru77wFKZR

[magnus nelson @101dnarg]

🚨 Job advert live 🚨

@airambulancekss and @UHSussex HEMS registrar posts are open now on NHS jobs.

https://t.co/S61CJ34FCO

[Tim Coats @TJCoats]

For every 1 hr spent boarding in the ED a patient spends an extra 2.15 hours in hospital.
Decreasing ED boarding increases bed availability!
@RCEMevents
RCEM Conference 2026

[Tim Coats @TJCoats]

Reducing computer screen brightness in ED to 40% did not affect ability to interpret scans or read EPR.
2000 kg CO2 equivalent saved per year, saving about £2000 a year.
Scalable and would be easy to implement in the NHS.
@RCEMevents
RCEM Conference 2026

[ACCESS London @ACCESS_London1]

🚨 ACCESS Clinical Development Day – Burns 🔥
Hear from plastic surgeons, intensivists, and burns specialists delivering expert-led, high-impact sessions.

📅 25 June 2026
📍 Bearsted Lecture Theatre, Royal London Hospital
🎓 5 CPD points
https://t.co/KyL19UYq5O

[Matthew Snowsill @mattsnowsill.bsky.social @MattSnowsill]

@shakilED Scalp wounds often covered up with multiple, absorbent layers over time, none of which address the bleeding point(s)
Don't rely on ones placed by others or that have been in situ for a while
Ensure adequate appreciation & control of bleeding before their head is the far end of CT

[Tim Coats @TJCoats]

Wow. Recent @RCollEM survey found Emergency Departments operating at 176% of capacity.
Imagine an aircraft, a shop, a restaurant or any other public facing industry being expected to perform perfectly at this sort of figure!

[Mamoun @drmamoun01]

Tough to operate with success in current #NHS environment, yet, ACCESS London do it 24/7 all year round. Thousands of patients conveyed on complex life support and given access to lifesaving procedures! Proud you @ACCESS_London1 Team https://t.co/0FdVnDZRaF…

[The BMA @TheBMA]

Resident doctors have written to the Secretary of State explaining why the Government’s latest offer fell short and what must be done to improve it.

If a credible offer is made, resident doctors are prepared to postpone next week’s strikes. We remain committed to further negotiations to secure a deal that protects doctors, patients and the future of the NHS.

[ACCESS London @ACCESS_London1]

🚨 ACCESS Mega Sim Day 🚨

High-fidelity, high-pressure, real-world simulation in action today with the ACCESS team. This isn’t routine ICU — it’s ICU in motion.

👏 Huge well done to everyone undertaking the sim today — pushing boundaries!

[Matthew Snowsill @mattsnowsill.bsky.social @MattSnowsill]

What a story! The coming together of London's amazing legacy services & a fantastic story since, serving London & the UK.
So much work by such brilliant people behind the scenes.
A remarkable organisation and I'm so lucky to be a little piece of it!
Happy bday @ACCESS_London1!

[Matthew Snowsill @mattsnowsill.bsky.social @MattSnowsill]

@TJCoats Congratulations, thank you and best of luck