Stuart Nuttall

Manservant to Bella and Lachlan. 🏊‍♂️ 🚵‍♂️ 🏃‍♂️ Du&Triathlete. EM Consultant. Part of the @CEMBooks team ⭐️Finlay⭐️

[Stuart Nuttall @StuartNuttall1]

“Focus on consistent habits & great cadence before marginal gains.”

Figure at some point you need a motto in life that you can stick to.

It’s not catchy but I think it’s true!

[Stuart Nuttall @StuartNuttall1]

@kurtstat Hiya! Yes, just found it and replied 👍👍
Sorry for the delay!!

[Stuart Nuttall @StuartNuttall1]

In an out of work through these areas this weekend on new dedicated clean traffic free cycle lanes too - can’t complain 👌

[Tom Forth @thomasforth]

Greatest city on earth.

[James Breckwoldt @jamesbreckwoldt]

🚨NEW POST BY ME🚨

Greater Manchester’s growth success is real, but didn't happened by accident. The country should be studying it closely.

Long-term strategy that is aggressively pro-growth, pro-development & pro-FDI works if given time and consistency

https://t.co/aVG1iwe8lQ

[Stuart Nuttall @StuartNuttall1]

@kurtstat They are the widely regarded benchmarks people test themselves against I’d say.

[Stuart Nuttall @StuartNuttall1]

@kurtstat @TJCoats Could probably add in for both graphs - marginal gains thinking is only the icing on the cake for both marathon and ECS performance. You’ve got to get the basic processes sorted/base miles in to build that solid cake before tinkering with the bits round the edges/fancy decoration

[Stuart Nuttall @StuartNuttall1]

@davehartin 🙋‍♂️ ER was big for me!
Just got HBO max so have seen the first couple of S1 episodes of The Pitt so far….

[Stuart Nuttall @StuartNuttall1]

@kurtstat @fourhourtarget @RCEMPolicyVP @RCEMpresident @TJCoats 😂 not generally 4hr ECS, but yes to many other processes esp if they’re done as part of a quality improvement process.

[Henry Hill @HCH_Hill]

At what level do you even pitch political coverage to a nation which thinks the NHS makes a 34% profit margin whilst not charging them for anything?

[Tom Forth @thomasforth]

"As an unabashed socialist, I am concerned with the distribution of wealth, but if you don’t create any in the first place it is a bit of an empty discussion." > Sir Richard Leese. If there is a meaningful concept of "Manchesterism" then this would be it for me.

[Stuart Nuttall @StuartNuttall1]

@kurtstat @DrGillespie_GP @sib313 @RCEM_VP @RCEMPolicyVP @fourhourtarget @TJCoats @whitefleece8127 @nickscr1 @BDChadwick @jfdwolff How many clinicians outside of EM are really into flow & how it affects their ward/specialty/the org as a whole rather than just the clinical management of their patients on their ward? Genuinely unsure. By nature it’s part of EM training, not sure it is in other specialties tho

[Stuart Nuttall @StuartNuttall1]

@kurtstat @TJCoats @RCEM_VP @RCEMPolicyVP @fourhourtarget @whitefleece8127 @nickscr1 @BDChadwick @jfdwolff And maybe “don’t put off till tomorrow what can be done today”!!

[Stuart Nuttall @StuartNuttall1]

@philatrail https://t.co/oPAVtbGO2N

Looks like the travel data backs it up. Seems to be well used!!

[Stuart Nuttall @StuartNuttall1]

@philatrail The Picc - York via Cas should be a no brainier to avoid Leeds and link Wakefield to Manchester. No other service provides that link currently and it seems well used.

[Neil Pettinger @kurtstat]

I usually illustrate my Heaviness Hypothesis* with AMU data. But I wondered if ED heaviness explains ED length of stay better than mere ED fullness does. And it does! (Though it's marginal!)
(*ED exit block is better explained by AMU heaviness than it is by mere AMU fullness.)

[Tom Forth @thomasforth]

"To thrive, Britain must embrace failure: If London, Oxford, and Cambridge continue to know that they are too big and too cherished to fail, Britain will not thrive. It is neither unpatriotic nor populist (as Burnham was accused of being) to say so." https://t.co/tXGlSG0aOY

[Tom Quick @TJQPNI]

The peerless Professor Harold Ellis died yesterday at 100 years old. I am sure he would want us to celebrate his life by sharing his teaching. He was a wonderful wonderful man, take 9 minutes to learn the plexus from him - https://t.co/IdyqBOGRuh

[Critical Care Reviews @CritCareReviews]

Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2026

CCR Journal Watch
https://t.co/Sp06oA6IDG

[AnnalsofEM @AnnalsofEM]

Clinical deterioration is an underappreciated risk of ED boarding.
In a multi-center study of >173,000 admissions, nearly 1 in 25 ED boarders admitted to the floor experienced early clinical deterioration requiring an admission to an advanced level of care, with almost half occurring before leaving the ED. Each additional hour of boarding was independently associated with an increased risk of deterioration, and deterioration carried substantially higher 28-day mortality.
Identifying high-risk patients early may prevent avoidable escalations in care and patient harm. 

#EDBoarding #PatientSafety #EmergencyMedicine #EM #HealthPolicy #SocialMedicine

[Stuart Nuttall @StuartNuttall1]

This wouldn’t be news to anyone who had the old @hornby Percy model train.
Was the fastest model engine on our railway 🚂 💨 🟢

[Chandlers_Railway (Commisions Open) @Mr_C_Railway]

I got Percy to 143 MPH in Wonders of Sodor

[Adrian Boyle @RCEMPolicyVP]

The association between long emergency department stays and inpatient length of stay: a retrospective cohort study | BMC Emergency Medicine | Springer Nature Link. Published today by my residents. Another harm of long ED stays… 1/n https://t.co/2QFTpWQFpQ

[Stuart Nuttall @StuartNuttall1]

It’s not just a UK phenomenon though @kurtstat - have a listen to the latest @SGem podcast. Similar issues, with some different terminology (alternate levels of care = no reason to reside) but essentially the same problem and same results - higher mortality and burnout etc.

[Ken Milne MD @TheSGEM]

SGEM#503: Waiting is the Hardest Part – Factors Associated with Emergency Department Length of Stay.

https://t.co/FFZthbmcGa

@PfParks @CAEP_Docs @alandrummond2 @raghu_venugopal