Richard Brook

Post-CCT Emergency Medicine Doctor. Pre-Hospital Clinical Fellow with Lincs and Notts Air Ambulance and Sheffield Teaching Hospitals.

[Stephen W. Smith @smithECGBlog]

Australian ACS guidelines 2025 - The OMI has officially arrived! - ED Guidelines. https://t.co/92GWWoe61W https://t.co/MjiOYsYRps

[Sammy Arab @SammyArab]

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

[Richard Brook @drrichardbrook]

@ross_prager This component of your thread is one of the most useful things I've come across recently. Thank you!

[Richard Brook @drrichardbrook]

A great thread that has relevance for anyone working with critically unwell/injured patients.

[Ross Prager @ross_prager]

Cognitive errors and distortions are common in the ICU

Here are the 6 most cognitive errors I see in the ICU (and how to avoid them)

A 🧵

#medtwitter #FOAMed #cognitivebias

[Lincs & Notts Air Ambulance @LNAACT]

Calling all #healthcare professionals and students! 🩺

Join us for LNAA's Clinical Governance Day, discussing cases and hearing from expert speakers themed around Pre-hospital Management of Neurosurgical Emergencies.

📅 25 January 2024
👉 https://t.co/A7Y8MKYg7J

@lnaacrew

[Richard Brook @drrichardbrook]

@hannahmillana If your local ambulance service or BASICS charity runs a Community First Responding scheme, then I found this a great way to gain exposure to the environment and the patient group within a good governance structure.

[Royal College of Emergency Medicine @RCollEM]

📢 @RCEMpresident warns the winter plan is "insufficient". The plan pledges 5,000 additional general & acute beds, but these were originally promised in January as part of the UEC delivery plan
- since January there are actually 1,841 fewer beds 📉. @Independent

[NHS Million @NHSMillion]

A record 170,000 staff left the NHS last year

It doesn’t matter how many NHS staff the government say they will recruit

Without better working conditions they will continue to leave in their droves and there will never be enough

Please RT if you agree

https://t.co/XrHZ8UQMcL

[小谷祐樹 Yuki Kotani｜集中治療医 @YukiKotani5]

✅Summary of Important RCTs in ICU for the First Half of 2023!

Quickly summarize the intensive care RCTs published from January to June this year!

Specifically, 13 trials in NEJM, JAMA, and Lancet!

I hope this 🧵 is a useful review of important literature👇👇
#FOAMcc

[Richard Brook @drrichardbrook]

@RCollEM Not loading at all at the minute 😢

[Richard Brook @drrichardbrook]

@medicluke You're so dramatic 😂

[Simon Carley @EMManchester]

Please visit @stemlyns to read about Max and the reasons why we need the AMAX4 algorithm in anaphylaxis/asthma. I promise you'll learn from this tragic story. Thank you Ben and Tamara.

Joining @DFTBubbles @LITFLblog to get the learning out there.

https://t.co/UYBer26nih

[Richard Brook @drrichardbrook]

@GNairambulance @samfendermusic We gave you a wave guys 👍

[Richard Brook @drrichardbrook]

@aedbthft @bthft_od @EmmaClintonAED @windle_tania @BTHFT Looks great!

[Richard Brook @drrichardbrook]

@Jen_Taylor2 Feel like I'm missing out!

[Dr Phil Hammond 💙 @drphilhammond]

I’ve written in detail about the doctors’ strikes in @PrivateEyeNews this issue. Here’s a taster on why @Jeremy_Hunt needs to sit down and re-read his own book, and @SteveBarclay needs to sit down and negotiate with junior doctors.

[Richard Brook @drrichardbrook]

@bigjimble It's glorious, unlikely to be read by anyone who can make any changes though

[Richard Brook @drrichardbrook]

@TheResusRoom @robfenwick @heli_med_james @Nrtaylor101 @laing_simon @RichBayli55 @wezroberts

[TheResusRoom @TheResusRoom]

24 hour competition!

Free tickets to one lucky winner to our upcoming conference + sedation + cardiac arrest masterclass

Just
•give this a retweet and like
•register for free CPD membership
•tag 2 friends below

We’ll contact the winner tomorrow!

https://t.co/MjIeuqUUGR

[Kevin Tsang @drtintin99]

A quick link to the new @NHSGIRFT national pathway for suspected #CES. It describes when, how and where they should be worked up, when to refer to spine team and timing of intervention. #MorningPaper @Imperial_EM @neuro_at_ic @e1v1m1 @BASStrainees

https://t.co/b05KIhdATl