Dr Thomas Shanahan MRCEM

Very happy to receive notification of my selection into the #FACEM training program starting in Feb 26.

With ROPL I will be starting as a TS2 trainee with 39 months of training remaining.

Can’t wait to get back on the #emergencymedicine training journey at Monash Health ED.

Gamma-hydroxybutyrate (GHB) related ED presentations

#OpenAccess

doi.org/10.1111/1742...

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How EM physicians navigate the transition from clinician to clinician-coach

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doi.org/10.1111/1742...

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Risky Prescribing and the Epidemic of Deaths From Falls This Viewpoint discusses physician prescribing and trends in death rates due to falls in the US.

jamanetwork.com/journals/jam...

Application for voluntary erasure - relinquishing GMC registration ✅

They deserve no more money from me for what they are doing to U.K. medical practice

Really happy with outcome of ROPL application for U.K. EM training towards FACEM training.

TS1 complete, primary exam complete; 3 months TS2; half paediatrics requirement; major referral requirement for core ED; 6 months non-ED.

19 Aug I’ll hear if I got into training

🥳 Happy to have a poster on resuscitative hysterotomy accepted for the ANZTS trauma conference in Wellington in October.

ED #overcrowding & #accessblock is a challenge everywhere!

140 in an ED and 60+ waiting just before the night shift starts.

This picture is similar across Oz

This is why I left the U.K. (which is in as bad or worse a situation).

Why are Govs not dealing with ramping, access block, crowding?

ED crowding & access block is a challenge everywhere! | Dr. Thomas Shanahan ED crowding & access block is a challenge everywhere! 140 in an ED and 60+ waiting just before the night shift starts. This picture is similar across Australia - looking at publicly open data in S...

www.linkedin.com/posts/tshana...

Signed my Monash Health ED registrar contract today for next year.

Now just have to find a place to live next year 😦 🤞🤞🤞

They are all established and pretty successful - but yes London most probably the most successful. But also the regional/inclusive systems aren’t all shining beacons of success and other countries do it differently (better or worse tricky to say)

Worth saying it was implemented across the whole of England and Wales and Scotland did their own version in the last few years.

I always say I have not seen a urologist do direct cystoscopy since 1989.
I will admit the first time I saw a video TURP I thought the patient was bleeding to death!
We have the technology and it is vital we use what you have, if you have it.

Yep!

Today is a good day!
Approval for my research project as ED research registrar at RPH.

Looking at patient outcomes in older major trauma patients injured by low energy falls vs high energy mechanisms at RPH from start of 2017 to end of 2022.

Where did you want to work?

Starting med school: UK
During med school: UK / USA (after time spent at Johns Hopkins)
After med school: UK
After core training: UK
During HST: Australia

I’m in Australia because NW EM training scheme sent me 2 a trust I didn’t want 2 go 2 🤷‍♂️

Thanks a lot. Can definitely see value in the extra year for further development and maybe a slightly less intense set of years of training

Nurses union to reject pay deal as strike vote looms The Royal College of Nursing has been holding a consultative vote on their 3.6% pay rise.

Nurses union to reject pay deal as strike vote looms

This is Australia and decision on EM training which here is nominally 5 years and then whether I get an credit transfer/recognition for the 3.5 years of integrated academic and clinical EM training I did in the U.K. before moving to Australia in Feb 2024

Retention is key to success and productivity

bsky.app/profile/drst...

Main reason for issues over pay is that Tories failed to maintain pay instead letting it fall 20-35%

Labour wouldn’t be in dispute

I wonder what the gain is from keeping pay of all NHS staff lower, as retention of UK trained staff becomes a huge problem leading to worse care

Retention is key

This Tuesday ACEM training selection committee meets to decide our fate. Find out on 19th August if I got into emergency medicine training in Oz and what, if any recognition of prior learning I will get 🤞🤞🤞

So, you want to run a clinical trial? - ACEM ASM 2025 Join the ACEM Clinical Trials Network Executive (and friends) for a dynamic, insider’s guide to designing and running a successful clinical trial. This

Excited to be a facilitator as part of the CTN workshop on running clinical trials at #ACEM annual scientific meeting in November at the Gold Coast #ASM

Should be a great 3.5 hours with an excellent group of clinician researchers, trialists and consumers

acem2025.au/workshops/so...

A service designed to provide urgent care for older people and to reduce ED presentations

#OpenAccess

doi.org/10.1111/1742...

@wiley.com
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ED presentations from Victorian residential aged care facilities

doi.org/10.1111/1742...

#OpenAccess

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Rapid Rule-Out Criteria for Patients With Suspected Myocardial Infarction

#OpenAccess

doi.org/10.1111/1742...

#OpenAccess

@firstdonoharm.bsky.social @wiley.com
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Simplicity Is the Ultimate Sophistication: Improve the System to Improve the Basics

doi.org/10.1111/1742...

#FreeAccess #Editorial

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CCR Down Under 2025 Critical Care Reviews Meeting Down Under - The Edge, Federation Square, Melbourne, December 9th - 10th, 2025

The first trial for CCR Down Under 2025 is RSI from the Pragmatic Critical Care Research Group

➡️Ketamine vs etomidate for emergency tracheal intubation
➡️n= 2364

Join us in Melbourne - Dec 9 & 10
criticalcarereviews.com/meetings/ccr...

CCR Down Under is run with the Alfred ICU & Monash Uni

Country WA town in limbo after shock closure of only GP clinic Low Medicare rebates and difficulty finding doctors are blamed for the shock closure of a medical service in regional WA.

Low Medicare rebates and difficulty finding doctors are blamed for the shock closure of a medical service in regional WA.