Dr Thomas Shanahan MRCEM

A&Es in ‘big trouble’ because of ‘normalised’ corridor care, says leading UK medic Emergency medicine specialist says improved social care and efficiency would help crisis in NHS Emergency departments across the UK are “in big trouble” owing to the way corridor care has been “normalised”, a leading medic has warned. Dr Ian Higginson, the president of the Royal College of Emergency Medicine (RCEM), said there should be “howls of outrage” over deaths linked to long emergency department waits, with just a few hospitals around the UK managing to avoid caring for patients on trolleys in corridors. Continue reading...

A&Es in ‘big trouble’ because of ‘normalised’ corridor care, says leading UK medic

It really doesn’t!

The waiting room has to be the scariest place in the emergency department for registrars (in charge overnight) and consultants. So much unknown and unseen and changeable!

#EDOvercrowdingKills

#AnkleFracture Classification

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

#PreHospital #ResuscitativeThoracotomy

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#MedSky #EMSky #EMedSky #emimcc #ACEM #PHEM

The effects of nudge-based clinical decision support interventions on test ordering

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@drsimoncraig.bsky.social @firstdonoharm.bsky.social
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#MedSky #EMSky #EMedSky #emimcc #ACEM

Patients with prolonged inpatient length of stay

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Decision Making in Emergency Medicine

#Opinion

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Ordering practices of urine Microscopy Culture and Sensitivity tests in a regional NSW emergency department

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@katecurtis.bsky.social
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#MedSky #EMSky #EMedSky #emimcc #ACEM

The timeliness of #prehospital response by single role versus multirole physician-staffed prehospital models

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#MedSky #EMSky #EMedSky #emimcc #ACEM #PHEM

Feasibility of discharging patients with #AtrialFibrillation with a portable single-lead ECG device to monitor their rhythm remotely at home

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#MedSky #EMSky #EMedSky #emimcc #ACEM

An integrated #GeriatricEmergencyMedicine short stay unit

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Patterns and characteristics of ED visits initiated by frequent presenters and other ED attenders

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This article very clearly outlines why medical practitioners are struggling worldwide (also, I suspect, not just residents and not just the UK)

Thanks a lot. Look forward to working with the team

Welcome to the team and congratulations @tshanahan0584.bsky.social !

I’m happy to share that I’m starting a new position as Section Editor - Trainee Focus at Emergency Medicine Australasia! @emajournal.bsky.social

We need to come together as a community and defeat this hate. More unites us than divides us, but it can feel hard to remember that at times like this.

Horrific scenes at Bondi beach. It has a special place in my heart as we stayed there over 13 years ago during our civil partnership.

My thoughts go out to my adopted country, the local community, Jewish people & all those at Bondi beach & 2 the emergency services, responding to the violence.

Column | Surprisingly tough Tennessee election reveals House GOP has base problem A hard-fought victory in once-safe Republican territory came as polls show conservative support on the wane for GOP congressional majorities.

Column: Tuesday’s surprisingly competitive special election in Tennessee, after President Trump won the district by 22 percentage points last year, shows that Republicans may be in trouble with their base for midterm elections.

The Grauniad headline vastly exacerbated the slightly confused report by claiming "soaring demand" as the cause. This, as you say, distracts from the key actions that would fix the problem.

Media reporting (and parts of the RCN report) seem to conflate "increased demand for urgent care" with "increased pressures on hospitals".

In doing so - they're obscuring the drivers of the problem and leading readers towards ineffective solutions (i.e. more staff, more funding).

But it draws the wrong conclusions on workforce: worsening A&E performance has happened despite 30%+ increases in the number of nurses working in hospitals since 2019.

RCN implies these increases are insufficient due to "increased demand".

But, as we've seen, this is just incorrect!

The full RCN report is mixed. It's reasonable to highlight high bed occupancy rates as a driver of A&E problems.

If there's nowhere to admit patients to, they're either stuck waiting for hours, receive (unsafe) corridor care, or are forced to leave before receiving treatment.

The data *in the report cited* is enough to disprove the hypothesis that poor performance is driven by increased demand. (See +3% attendances vs +8,033% in 12 hr waits)

The real cause of long waits in A&E is poor patient flow, driven by operational dysfunction in other parts of hospitals.

The poor outcomes in A&E are obvious to anyone who looks at the numbers or has simply been to an ED in the last few years.

But as @policyskeptic.bsky.social has repeatedly argued, incorrect diagnoses of the *drivers* of poor outcomes are obstacles to solutions which will improve performance.

Numbers leaving A&E without treatment triples in six years Soaring demand has led to ‘shocking’ rise in untreated patients leaving NHS emergency departments in England, data shows

Misleading write-up - it's true that there is a crisis in A&E, but this is not because of "soaring demand".

The RCN report itself shows that A&E attendances are only 3% higher than in 2019, while 12+ hour waits are 8,033% higher.

www.theguardian.com/society/2025...

Listening to the Aussie former players / commentators absolutely hammering England after the 1st innings. They sd know better - you cant judge until both teams have batted. Eng excellent bowling attack. Batting was at least at a clip.

Overseas-trained doctors leaving the UK in record numbers Medical bodies warn that hostility towards migrants is behind a 26% rise in departures last year that imperils NHS

"Record numbers of overseas-trained doctors are quitting the UK, leaving the NHS at risk of huge gaps in its workforce, with hostility towards migrants blamed for the exodus"

Slow clap to the anti-immigrant rhetoric

External validation of the Dutch prediction model for prehospital triage of trauma patients in South West region of England, United Kingdom This paper investigates the use of a major trauma prediction model in the UK setting. We demonstrate that application of this model could reduce the n…

Really happy to find out today the below paper got accepted as meeting the FACEM research requirement!!! Another requirement ticked off before starting in February

www.sciencedirect.com/science/arti...