I have just finished another set of incredibly difficult weekend nights as the A&E consultant incharge.
Some thoughts:
The NHS no longer provides unscheduled care - we provide treatment. Care is with dignity - that's impossible for our patients in corridors.
The model of acute care is not working or sustainable. We need a completely different approach - with long term investment in prevention and community care
111 need to change risk thresholds as far too many come to a&e when they don't need to.
There needs to be alternative pathways to get care overnight for those who don't have accidents or emergencies. A&E shouldn't be anything and everything
Staff are broke - supporting staff is just as vital as looking after patients
This government have totally decimated our the NHS. They are the ones who should be apologising to our patients not our staff.
Hundreds are dying each week because of lack of hospital capacity and corridor care in a&e, yet it's not on the news and no public uproar. As staff and patients we have accepted the unacceptable.
Everyone needs to know the reality of what is happening - so that politicians offer a different solution and patients get the care they deserve. Sadly most of the public have no idea of what is genuinely going on.
And finally, a post night fry up is the best antidote for the stresses of the weekend. Goodnight!
NEW: Hyperosmolar hyperglycaemic State is a common presentation to the ED which can mimic many other disease processes.
@doctormehdi53
Learn about it here:
🔒Learning Source: https://t.co/roakijlWSO
🆓Reference: https://t.co/tMaNgSjU30
New report reveals shocking number of excess deaths caused by crowding in Emergency Depts. last year
A new RCEM report ‘Crowding + its Consequences’ has found that at least 4,519 patients have died as a result of crowding +12 hr stays in Emergency Depts. in England in 2020-2021.
Listening to an absolutely excellent talk by @clifford0584 on getting involved with research. Some great tips for young Emergency Medicine doctors here…
Thank you, @imperialcollege for the feature. This win goes beyond me & reflects the unmeasurable sacrifice undertaken by the women who are so foundational to our communities. This one's for you❤🔥
https://t.co/iDciouniJG
RCEM policy on key topics for the next few months. C stands for crowding. Crowding is back which in Covid times is doubly dangerous. EDs must not be Covid insecure. @RCEMPolicyVP @VP_NI_RCEM @VP_Scot_RCEM@RCEM_VP