This took my breath away: We didn't name the slaughtered children because Israel would go after their remaining family.
We can't even name the victims of the deplorable genocidaries.
When a child loses a limb in war, the injury is not just physical; it is psychological, emotional, social, and existential. Their world collapses in an instant. Often their home has also been destroyed, their parents killed, and their siblings lost.
https://t.co/7WzWmNB36t
The ED is where policy meets reality:
No access to primary care → med refills in the ED
No mental health funding → crises in the ED
No addiction services → overdoses in the ED
We don’t just see patients. We see policy failures.
Grateful for the chance to present at #EUSEM2025 in Vienna. Always energising to connect with colleagues, exchange ideas, and celebrate progress in Emergency Medicine. 🌍✨
"Because we’re all terrified—of missing something rare, of complaints, of being the name on the “learning event”—we end up immobilised. Or worse, we over investigate."
We need a culture shift from defensive practice to clinical courage
https://t.co/8pIvKNlYgg
Work out the maths. Evidence from England shows that for every 72 people who stay 8-12 hours before admission, there is one excess death. Not tackling this is a deliberate policy choice.
Our national study found that for every one hour with patients, UK resident doctors spend four hours on admin.
In @bmj_latest today, we break down why this isn’t just an inconvenience, it’s a safety risk.
1) Fragmented EHRs → endless copy-paste + re-entering data
2) Trainees turned into scribes
3) Less training, less confidence, less preparedness
We suggest:
• Reassign admin to allied staff
• Joined-up IT that fits clinical workflows
• Minimum patient-facing time requirement in training
• Clinicians co-designing digital tools
If you work in healthcare: what’s one admin task you’d automate or reassign tomorrow?
👇 Your answers might shape the fix-list.
Thank you to my co-authors @KaranChhatwal_@HamaadAKhan and Professor Stuart D. Rosen, and BMJ editors @Juliet_hd and @jolie__neill.
You can find the link to the full BMJ piece in the comments.
With thanks to @imperialcollege and @bmj_latest
The most beautiful thing in emergency medicine isn’t saving a life.
It’s conducting the symphony.
3, maybe 4 crashing patients at once.
You can’t save them all at the same time.
But you don’t panic.
You lead.
This tribute video for the 20th God of War anniversary is something special, enough to have made me tear up.
Thank you @SonySantaMonica
Thank you God of War
💙
🌙 Ramadan in the ED: Understand its impact on Muslim ED staff & patients. Fasting from sunrise to sunset affects hydration, medication schedules, and overall well-being. Let's ensure compassionate and informed care during this holy month: https://t.co/nnK0GcYJdD
Emergency medicine is a lifestyle, not just a job.
You’ll see the sickest patients, the worst luck, and the darkest corners of humanity—& still be expected to smile, move fast, and get it right every time. A thread on what they don’t tell you about EM. 🧵
I think we may have gotten to a time in healthcare unfortunately where stating “this is a patient safety threat” no longer carries weight it did to drive change given the breadth of everyday threats that exist in the system. 🤦♂️😳🤷♂️
RCEM president: ‘All the admission avoidance in the world won’t help an elderly patient waiting on a trolley in a corridor for hours (days)’
Never a truer word. Root cause of crowding is lack of Health & social care capacity & flow + need to evolve to realistic medical practice
The notion that the hospitals are storing up inpatients unnecessarily or that we can treat much more of our emergency admissions at home is a fallacy. Stroke, sepsis, cancer, trauma, heart attacks and pandemic cannot be managed by ‘integrated’ and ‘enhanced’ community structures
We have made it clear that the NHS temporary escalation spaces (TES) guide is "normalisation of what is an unacceptable and dangerous situation".
RCEM Position Statement: https://t.co/7ck9CTFwBu
RCEM News: https://t.co/r3GxB1TCVJ
TES guide: https://t.co/bjKuCEgEuj
Independent's coverage (in quote repost): https://t.co/MICgayv24i