Julie Gibbs

Consultant Emergency Physician UK. Rugby Union fan. Scot residing in the south. @majorbaps.bsky.social 🦋

[Ian Higginson @RCEMpresident]

Time to be Scrooge. Now the strikes are behind us that-which-shall-not-be-named is about to start … although I don’t hear the same level of concern being expressed …

[@TERNfellow @ternfellow]

The UK @ternfellow EDcorridor study is out!

Key points
1. 1in5 are treated in ED escalation areas (eg corridors)
2. 10-25% of EDs have no available resus cubicle
3. The problem/solution is flow. More patients waiting for beds in ED than in corridors.

https://t.co/r5wna1PDMP

[Julie Gibbs @majorbaps]

@zackferguson Welcome to the Frimley team!

[Adrian Boyle @RCEMPolicyVP]

@JKDhesi 11/n The report makes some good recommentations, but essentially start at the back door of the hospital and work from there to improve flow. Stop wasting time and effort on demand management, GP bashing or unproven and unevaluated initiatives. Fin

[Adrian Boyle @RCEMPolicyVP]

@JKDhesi 10/n Patients with a mental health presentation also get a raw deal

[Adrian Boyle @RCEMPolicyVP]

9/n and the vulnerable. A 12 hour stay for an older person can really harm them.

[Adrian Boyle @RCEMPolicyVP]

8/n And this is affecting people in deprived areas more

[Adrian Boyle @RCEMPolicyVP]

7/n Staff can see the harm that this causes to patients

[Adrian Boyle @RCEMPolicyVP]

6/n High hospital occupancy has knock on effects for the smooth running of the hospital beyond urgent care.

[Adrian Boyle @RCEMPolicyVP]

5/n Hospital occupancy rates and four hour trolley waits are very closely linked. Reduce occupancy, and ED flow improves

[Adrian Boyle @RCEMPolicyVP]

4/n This is a lot of people who are being exposed to avoidable harm. The association between long stays and increased mortality is pretty well accepted. https://t.co/Y8TqBAWfTj

[Adrian Boyle @RCEMPolicyVP]

3/n This is not just a winter problem, though seasonal viruses don't help.

[Adrian Boyle @RCEMPolicyVP]

2/n The problem of long stays in EDs (and by implication) corridor care has got MUCH worse since the pandemic.

[Adrian Boyle @RCEMPolicyVP]

https://t.co/9gjcXeepMo This report by the All Party Parlimentary Group on Emergency Care went under the radar yesterday (the media was distracted) but contains some really important information. A rambling thread 1/n

[Royal College of Emergency Medicine @RCollEM]

Here's our President, Dr Ian Higginson @RCEMpresident, with a message to our incredible SAS doctors @EMSAS_RCEM this #SASWeek25

Thank you for your continuous hard work, commitment and dedication to the specialty.

[Cove Joggers @CoveJoggers]

What a fabulous weekend - stunning sunshine, heavy rain, hills, mud, teams, solos and lots and lots of fun. #Endure24 had it all! See you again next year 🏃🏻‍♀️🏃💜

[Julie Gibbs @majorbaps]

Officially an ultra marathon runner 😃 30 miles in filthy weather 🌧️ - absolute mudfest! What a weekend! #Endure24 @CoveJoggers @theEndurancePT

[Julie Gibbs @majorbaps]

Loved the new route #Yateley10k this evening. The race that has everything - sun ☀️ rain 🌧️ long straights 🏃🏻‍♀️ gentle incline 🥵 and even a short technical section 🤣 Shout out to the marshals and organisers who were fantastic as ever! @SandhurstJogger @CoveJoggers

[Julie Gibbs @majorbaps]

@heidi_ed @davidcarr333 @FfionDavies4 @acemonline @RCEM_VP @RCEMvp_Salwa @EMTAcommittee Ordered ✅ Looking forward to reading it!

[Julie Gibbs @majorbaps]

@theEndurancePT @mileswithshell @UKRunChat I feel seen 😂