Shmune Horn

Experienced Emergency doc, comfortable working in any environment, anywhere in the world. Health systems development and civil-military expert. Plays bass.

[RUSI @RUSI_org]

Russia's playbook in Ukraine includes bombs, cyberattacks, misinformation, and supply disruptions—all aimed at healthcare resilience. As European militaries ready themselves for war, the UK risks making medical readiness an afterthought, write Ed Arnold and Si Horne.

[Shmune Horn @Triagemonkey]

@RUSI_org @JulianaSuess @BritishArmy Great conference, well done team!

[Shmune Horn @Triagemonkey]

A real pleasure to chair this panel of true experts, discussing power, bandwidth, GPS and dispersal as emerging tactical challenges.

[RUSI @RUSI_org]

The current panel at the #LWC25 discussed emerging tactical challenges, with @JulianaSuess focusing on how military strategy and training need to adapt to potential disruptions in the electromagnetic spectrum.

[RUSI @RUSI_org]

Decarbonised technology could enable military advantage and offers an opportunity for the British Army and UK industry to lead within NATO, writes Major Paul Goodall in the latest #RUSICommentary.
https://t.co/LvE5aRmCKr

[Shmune Horn @Triagemonkey]

With health services on their knees and a strategic defence review out soon, I’m grateful for the chance to talk about standards. Not only is “gold standard” nigh impossible in disasters & battlefields, it may be the wrong thing to seek. We can do better. https://t.co/xvu7aKxJm4

[Royal College of Emergency Medicine @RCollEM]

We have joined with @theRCN and others in writing to @wesstreeting to ask him to compel NHSE to routinely publish ‘corridor care’ data.

Only then will the true scale of the issue, and the associated risk it creates, be known.

[Robert James @EmergencyDoc209]

Pleased that our article about English EDs’ ability to respond to a major incident has been published in @EmergencyMedBMJ. Concerned that only 15.5% of ED self-report as prepared to respond, however. https://t.co/vNdhGPhDc5 @Triagemonkey
@RCollEM @RCEMpresident @DefProfEM

[RUSI @RUSI_org]

The language and culture around risk differ dramatically between defence and healthcare, and this may limit the UK’s ability to operate effectively. It may also lead to a focus on the wrong risks, writes Si Horne in the latest #RUSICommentary.
https://t.co/cHE6BWSS5v

[Shmune Horn @Triagemonkey]

@warthog101 @BBCWalesNews And not a QA grey beret either.

[Shmune Horn @Triagemonkey]

@BBCLondonNews And if we don’t make it harder to attack critical national infrastructure then it will only get worse. Health is uniquely vulnerable and not just because of the nature of its IT.

https://t.co/SiICtz6g7i

[Ian Higginson 🌈 @RCEM_VP]

Good news. I’ve found an Emergency Department that isn’t crowded (although it will be busy later). It’s in a large field somewhere in Somerset. And it will be gone in 5 days.

[Shmune Horn @Triagemonkey]

Health systems are incredibly vulnerable to cyber attack - either alone or part of a hybrid assault. State-sponsored, state tolerated or individual, these attacks can have extensive and enduring effects. Great to work with @RUSI cyber specialists @moleman2006 and @jamiemaccoll

[RUSI @RUSI_org]

The ransomware attack against an NHS supplier in early June has caused cascading harms to the UK's healthcare system, highlighting the vulnerability of health services in the age of organised cybercrime, write @Triagemonkey, @moleman2006 and @jamiemaccoll.https://t.co/MQhzwaBpYb

[Shmune Horn @Triagemonkey]

@MtarfaL @RUSI_org This RUSI paper was published a couple of months ago but it highlighted the fragility of blood supplies in the NHS, and their vulnerability to cyber and hybrid attack. So although the main topic relates to war, the underlying concerns about health infrastructure are connected.

[United Nations Association - UK (UNA-UK) @UNAUK]

Our annual memorial ceremony in remembrance of peacekeepers who have lost their lives in the service of global peace is taking place at the Cenotaph now.

#PKDAY24

[Shmune Horn @Triagemonkey]

Looks at logistics in the round, but if you want to know how battlefield medicine must change if we fight a war again, here’s my take. My thanks to @Jack_Watling for letting me join in on this important project.

[RUSI @RUSI_org]

🚨🧵New RUSI report, ‘Assuring the Tactical Sustainment of Land Forces on the Modern Battlefield’ by @Jack_Watling and Si Horne is out now!
https://t.co/NNyhd2ulkh

[RUSI @RUSI_org]

Recently announced plans for Russia and China to build a lunar nuclear power plant signal Russia’s eastward realignment in space cooperation, and hint at China’s renewed willingness to publicly cooperate with Russia, write @JulianaSuess and @j_crawford_.
https://t.co/1TOOJLPqTb

[Shmune Horn @Triagemonkey]

How should we respond when people from major organisations commit awful crimes? Pulling funding sends a strong message, but does it force positive change? And what are the security implications of doing so? A real privilege to be able to explore issues like this at @RUSI_org

[RUSI @RUSI_org]

The UK and several other countries withdrew funding from UNRWA due to allegations of personnel involvement in the Hamas-led attacks on the 7 October. @noahsylvia_, @EmmaButcher_ and Si Horne consider whether defunding was the best approach.
https://t.co/3SogA7lJ2Q

[Shmune Horn @Triagemonkey]

Our @RUSI_org commentary on the future of Defence Engagement asks how we want to use our forces to achieve influence on the global stage. We only mention Medical once but @DMS_MilMed is still one of the most effective tools for the job.

[RUSI @RUSI_org]

'Defence Engagement’s focus should firmly be on actors who do not yet support UK interests effectively – either shaping their intent to support the UK, building their capacity to do so, or both' write Si Horne and Ian Gurney in the latest #RUSICommentary.
https://t.co/MMeJQX3Buu

[Matthew Savill @MTSavill]

Some stark figures in here about the scale of the challenge that would face UK medical services in the event of a major war.

[Cake or Death @Johngcole]

Can you imagine how furious you would be if you developed polio and lived, but had lifelong side effects, and when you turn 12-13 find out that all of this could have been avoided if you had been vaccinated but mom and dad saw a youtube video and their facebook group said not to