Emergency Physician with aims of equality for all irrespective of race or creed.
Ireland
Joined May 2019
- Tweets4.9K
- Following503
- Followers814
- Likes898
Interesting letter from Colm Henry @HSELive to @AssocEmergMedIE . If patient in the emergency department who could and should be seen by acute medicine responsibility lies with emergency medicine(EM). So we are now openly saying if system dysfunctional all risk remains with EM?
1
293
Agree and disagree. Much of the availability is to cover the gaps in other professionals care. Few of the patients are true emergencies though many have the potential to be. Ritual whippings of emergency physicians should be discouraged (or continued until morale improves)
Emergency medicine is 24/7/365. We are availabologists. Unfortunately, that means if you are can’t work evenings, nights or weekends or be on call for your department, this is not a specialty you should choose.
1
255
We can’t schedule death but we can structure it. But not in a crowded room with no personal space, no dignity and staff with little time to allow their empathy to shine.
Triggle / BBC are intervening now re EoL / Palliative Care because they don't like the Leadbeater bill.
I will make a couple of points as someone who regularly commences Palliative Care in an unplanned / emergency setting... #AssistedDying
Thread...
bbc.co.uk/news/articles/c62z…
1
198
Be thankful you had an opportunity to help someone in a way that was previously missed. Do not let your ego drive you. Remember that doctor you helped by focussing on the patients concern might help you again some day. We are all far from perfect.
Unpopular opinion but there’s a lot of bad/sh*tty doctors out there.
Being an emergency doc, I have to opportunity (privilege) to clean up a lot of their messes.
Thankfully these docs make up a small minority but, it’s always disheartening when I encounter them.
1
173
Causality Doctor retweeted
Listen to this termination of resuscitation… which is how it should happen.
There are several things to note that Dr. Robby from The Pitt did here that are spot-on.
1. He, in no uncertain terms, told her parents that her cardiac arrest was non-survivable. This is not the time to list out percentages or probabilities. This is the time to provide certainty to the inevitable death.
2. He told the parents when the appropriate time was to terminate resuscitation.
Notice… No one said, “hey, so, do you want us to keep going or what?”. When a statement like that or similar is used, what the family hear are, “so… do YOU want to let granny die now or what?”
You, the medical professional, that understands physiology and abysmal outcome even if ROSC is achieved at this point should be the one bearing the burden of making that decision, not the family member.
3. He offered to allow the remaining family to come in before stopping all of the visible efforts of resuscitation. (see previous post on this topic)
My general gist is something like this, “Johnny has had no pulse and no blood flow to the brain for 40 minutes. Even if all the things we are doing were to get his heart beating again, he has suffered permanent brain damage. He will never wake up and be the same person you’ve him as. Now is the appropriate time to stop.”
More to come on potassium levels and cardiac arrest...
#emergency #emergencymedicine #criticalcare #icu #erlife #iculife #science #army #armymedicine #armyemdoc #resuscitation #research #data #family #death #cpr #medx #medtwitter
Causality Doctor retweeted
Wow. This UK Comedian just demolished MAGA.
Watch until the end. I promise.
Nothing says that @sinnfeinireland have moved past their violent past more than lauding cold blooded killers. Feel free to mourn your friend but portraying a murderer as a patriot is a step too far.
Very saddened to hear of the passing of a dear friend, Bik McFarlane.
Yesterday we lost a great Republican whose commitment to Irish unity, peace and social justice was unwavering.
I always enjoyed his company, craic agus ceol.
His loss will be felt by all who had the privilege to know him.
Remembered always. Farewell Bik. 💔
Readers added context they thought people might want to know
Bik was a terrorist & convicted for his role in sectarian murder of 5 civilians en.wikipedia.org/wiki/Brendan_M…
Ukraine the aggressor! Much like the United States attacked Japan in 1941 in their provocative actions at Pearl Harbour by the way they let the bombs fall and destroy both men and machine. Every time I think they cannot get more stupid or inept they continue to surprise me.
167
The difference between an educated leader and whatever is on the right.
BREAKING: Canadians are sharing this Video on X with the hashtag #ourLeaderIsSmarterThanYours
114
Nicely framed by the BBC. The US stands shoulder to shoulder with anyone except the women and children massacred by totalitarian regimes. And so on . . .
If you thought journalism was dead at the BBC
Watch Victoria Derbyshire's interview with Sebastian Gorka, Senior Director of Counterterrorism at the White House
VD, "Have you just handed victory to President Putin on a plate?
It goes downhill from there
1
133
Causality Doctor retweeted
Everything that's wrong with Western attitude, diplomacy, and media...
If you have a couple of minutes, it's well worth a listen.
In fairness ten out of ten workers in emergency departments have cared to patients in inappropriate settings in the last day.
More than eight in ten of workers in acute healthcare settings have cared for patients in inappropriate settings in the past year, with more than seven in ten believing that such conditions worsen patient care, according to a new survey. imt.ie/news/treatment-in-ina…
99
An important topic Good overview but two issues. First it is crowding not overcrowding and secondly the only reason this is important is it leads to patient death.
Why is hospital overcrowding still an issue? rte.ie/news/analysis-and-com…
90
A judge is perfectly entitled to review the constitutionality of the actions of any member of the government in drafting laws and ultimately this means the party in power and its leadership. To not have those processes and failsafes in place would not be democratic.
If a judge tried to tell a general how to conduct a military operation, that would be illegal.
If a judge tried to command the attorney general in how to use her discretion as a prosecutor, that's also illegal.
Judges aren't allowed to control the executive's legitimate power.
1
139
Far closer to what @RoryStewartUK said than the abrasive approach from @JDVance and ultimately I would defer interpretation of this to a theologian. Though common sense and general kindness or empathy would give the same thoughts. #makeamericahateagain
Actually no. This misses the point of Jesus's Parable of the Good Samaritan (Lk 10: 25-37). After Jesus tells a lawyer that you should "love your neighbor as yourself," the lawyer asks him, "And who is my neighbor?"
In response, Jesus tells the story of a Jewish man who has been beaten by robbers and is lying by the side of the road. The man is helped not by those closest to him (a "priest" and a "Levite"), but rather by a Samaritan. At the time, Jews and Samaritans would have considered one another enemies.
So Jesus's fundamental message is that *everyone* is your neighbor, and that it is not about helping just your family or those closest to you. It's specifically about helping those who seem different, foreign, other. They are all our "neighbors."
But Jesus's deeper point can only be understood from the point of view of the beaten man: our ultimate salvation depends, as it did for that man, upon those whom we often consider to be the "stranger."
115
Really important message from Bernard Gloster. The system @HSELive is focused on and reacting to the care of in-patients . . . . unless they are in an emergency department waiting admission or waiting to be seen and harm befalls them as a result of crowding.
137
Weird!. As an Irish person I’m indistinguishable from members of the IRA. Ethnically and visually similar. Terrorists who killed and maimed allegedly in my name. There were those who supported the IRA from my locality. Small numbers but I shouldn’t be judged by their savagery
I must say, after the horrific images we witnessed during the release of hostages today, I find it difficult to have any empathy for the ‘civilians’ of Gaza, given they are so indistinguishable from the savages of Hamas. They are no different to those who stormed on Oct 7th.
150
It’s interesting that anyone when discussing a health minister or equivalent would even consider their “side of the story”. It is science. There are no sides. The evidence goes where the evidence goes. Vaccines save lives for instance . .
Interesting that all the Democrats did was yell at him picking and choosing statements he made throughout the past, but did not allow him to share his side of the story at all. Usually, the one who talks the most in the situation is trying to push a lie.
96
In keeping with party doctrine presume this is “make medicine irate” similar to the “make America eight again” approach of allowing children to manage politics in the US?
It should be mandated that unless disabled, each medical school graduate should have to practice medicine FULL TIME for 15 years (minimum) or have to refund the Federal Government for the cost of tuition.
131