Dr Thomas Shanahan MRCEM

"We have a debt crisis so I've joined the party that was in power for 14 years and under whom debt massively grew."

"Commentator of the Year"

I do think this has been a week in which new levels of 'why don't senior Labour politicians understand we can ALL hear them' have been reached. Why would Andy Burnham do a 'I'm gonna hike taxes on London and the south, you're all rich!' Why would Steve Reed use 'regional politician' as a putdown?

Maintaining independence at home after a fall: a process evaluation of the MAINTAIN multicomponent intervention for people living with dementia AbstractBackground. People with dementia who have a fall can experience both physical and psychological effects, often leading to diminished independence.

New paper out in @age-and-ageing.bsky.social: Maintaining independence at home after a fall: a process evaluation of the MAINTAIN multicomponent intervention for people living with dementia. Read it here: academic.oup.com/ageing/artic...

Happy to have my TS2 rotations confirmed for next year - 9 months MMC Clayton ED and 3 months Casey anaesthetics. Now need to just find a place to live.

Work that leads to residence If you’re 55 or younger and want to live in New Zealand (NZ) permanently, you can apply for a resident visa, or a work visa that leads to residence after working here for 2 years.

Nau mai, haere mai.

www.govt.nz/browse/immig...

<em>Emergency Medicine Australasia</em> | ACEM Journal | Wiley Online Library Ambulance ramping is the situation where patients who arrive by ambulance are forced to queue for access to an emergency department (ED) cubicle. Despite efforts to address the problem of ambulance r...

What Factors Could Create a More Comfortable Waiting Experience for Patients on Emergency Department Ramps? A Scoping Review - Binnie - 2025 - Emergency Medicine Australasia - Wiley Online Library onlinelibrary.wiley.com/doi/abs/10.1...

An interim care plan model of care for direct inpatient admissions

doi.org/10.1111/1742...

@wiley.com
#MedSky #EMSky #EMedSky #emimcc #ACEM

Empiric antibiotics for acute pyelonephritis

doi.org/10.1111/1742...

#OpenAccess

@wiley.com
#MedSky #EMSky #EMedSky #emimcc #ACEM

The relationship between the duration of transfer and the risk of in-flight deterioration in aeromedical trauma patients

#OpenAccess

doi.org/10.1111/1742...

@wiley.com @emfoundation.bsky.social
#MedSky #EMSky #EMedSky #emimcc #ACEM

ED headache patients without neurological features who are diagnosed with a serious secondary headache cause

#OpenAccess

doi.org/10.1111/1742...

@wiley.com @gkeijzers.bsky.social
#MedSky #EMSky #EMedSky #emimcc #ACEM

The Gendered Double Burden in Emergency Medicine

doi.org/10.1111/1742...

@wiley.com
#MedSky #EMSky #EMedSky #emimcc #ACEM

Labour must champion inclusivity to tackle advance of far right, says deputy leadership hopeful Exclusive: Alison McGovern says party needs emotive storyteller to fight against division promoted by Reform

A debate Labour badly needs to have:

Labour must champion inclusivity to tackle advance of far right, says deputy leadership hopeful Exclusive: Alison McGovern says party needs emotive storyteller to fight against division promoted by Reform

It's possible that something good has come of the Rayner affair. There is such an urgent need for this conversation in Labour right now, for some kind of beating heart to the project - a memory that it does actually have values it is prepared to fight for www.theguardian.com/politics/202...

Here’s a Shocking Idea: Democrats Don’t All Have to Sound Alike Four candidates in wildly different races show the value of being yourself.

Read @jilldlawrence.bsky.social!

www.thebulwark.com/p/shocking-i...

Cost of training is one thing to factor in with any move of country.

U.K. was pretty high. But wildly high in Australia and only going up and up.

I guess you can get some back on tax in a year 🧐 🤔

Patients who leave without being seen

doi.org/10.1111/1742...

@wiley.com
#MedSky #EMSky #EMedSky #emimcc #ACEM

Senior doctor warns WA emergency departments run like 'disaster situation' A senior WA emergency department doctor describes his workplace as running in a "disaster situation", struggling within a health system which has an "unhealthy fixation" on ambulance ramping.

www.abc.net.au/news/2025-09...

Tough winter in WA, not helped by poor IT and infrastructure

Voluntary erasure from the GMC medical register granted ✅

Pretty painless TBF and no only money to one regulator as it should be

Oh my goodness Rick, this is terrible. Violence and aggression in ED against staff is endemic.

Very pleased to have two abstracts accepted for poster presentations at ACEM annual scientific meeting on the Gold Coast in November.

One is on high vs low energy major trauma in the U.K. The other is on resuscitative hysterotomy in ED in pregnant trauma patients at RMH

#ASM2025

<em>Emergency Medicine Australasia</em> | ACEM Journal | Wiley Online Library Introduction Humidified high flow (HHF) oxygen is increasingly used to treat acute respiratory illnesses in children; however, use during aeromedical transfer is not well described. Methods This w...

Evaluating the Introduction of Humidified High‐Flow Nasal Cannula Therapy Into an Australian Aeromedical Service Within a Paediatric Population: A Retrospective Cohort Study - Yap - 2025 - Emergency Medicine Australasia - Wiley Online Library onlinelibrary.wiley.com/doi/abs/10.1...

Low Back Pain ED presentations by Remoteness and Socioeconomic Status
doi.org/10.1111/1742...

#OpenAccess

@wiley.com
#MedSky #EMSky #EMedSky #emimcc #ACEM

Using the PREDICT Guideline Algorithm for Risk Stratification of Head Injuries in children

doi.org/10.1111/1742...

@wiley.com
#MedSky #EMSky #EMedSky #emimcc #ACEM

Emergency management of the trauma patient
#TraineeFocus

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doi.org/10.1111/1742...

doi.org/10.1111/1742...

@wiley.com
#MedSky #EMSky #EMedSky #emimcc #ACEM

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...

@wiley.com
#MedSky #EMSky #EMedSky #emimcc #ACEM

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

#OpenAccess

doi.org/10.1111/1742...

@wiley.com
#MedSky #EMSky #EMedSky #emimcc #ACEM

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