Emergency medicine & PHEM doctor. Interests in med ed & human factors. He/him.
United Kingdom
Joined October 2013
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Mark Tehan retweeted
Entry points to hospital. Should more specialties have their own dedicated admissions units? Or should most things come in via a (properly resourced) ED and be sent to the correct specialty from there?
58%Specialty admission units
42%ED
674 votes • Final results Mark Tehan retweeted
I have been doing some work around Silver Trauma, and I am interested to see what the term Silver Trauma means to you. (please retweet) - thank you
In a patient >65 years old(or similar age), does silver trauma mean:-
44%ANY level of trauma
15%Major trauma
12%Trauma BUT NOT major
29%Potential hidden trauma
209 votes • Final resultsApparently there is a football thing happening.
Does the incidence of domestic violence go up in Wales the same way it does in England when the footie is on?
Mark Tehan retweeted
I appreciate this comes across a bit harsh/cynical, and over the years we have had some excellent teaching from other specialties for which I am very grateful.
EM folks: what “top tips” would you give other specialists wanting to “educate” EM about their specialty?
Hey #MedTwitter, can you help?
How do you determine what patient c/o electric shock requires assessment for electrical burn?
All the docs I find say ECG, monitoring, CK, urine myoglobin, fluids, etc.
But surely there's a high proportion that don't need this?
#Burns
Totally agree with @docib here.
If you want to increase efficiency in emergency depts then govt, NHS & Trust Board need to be explicit about how much risk they're prepared to tolerate & indemnify.
Mark Tehan retweeted
Very well written account of how an excess of caution can contribute to absolutely pointless emergency episodes. Thank you. @acutemedicine
Much more advance care planning is required.
Dad spent two of the last days of his life alone and distressed in A&E – for no good reason. This insanity must stop | Adrian Chiles theguardian.com/commentisfre…
Mark Tehan retweeted
Always in these articles you have anonymous "NHS Chiefs" saying they can't run safe services with this level of funding.
But which trust has said so publicly? None. Without anonymity, which still claim to be safe? All of them.
🚨 EXCLUSIVE: NHS chiefs across England have been told to cut spending on nurses and doctors and find services they could close as NHS faces a £4.5bn funding blackhole: thetimes.co.uk/article/421a0…
Mark Tehan retweeted
Why should EM doctors be fast?
accssurvivor.net/ed/2024/02/…
#teamED
Mark Tehan retweeted
If an emergency department is crowded then patient should be moved to wards who should create extra capacity. Keeping sick elderly people on waiting room chairs for hours on end is inhumane. Holding all the risk in one place is dangerous and irresponsible.
Mark Tehan retweeted
well-known figure relating to genera practice is that 1/5 of appointments relate to nonmedical issues.
Does anyone know of any research/data looking at this issue in emergency care?
#ENGvSAM
Ford, Farrell, or Smith?
I know who I want, but can England just pick one of them.
It does not need three 'playmakers'. There's so much that needs to be fixed, changing the fly-half every 40 minutes is not the answer.
Mark Tehan retweeted
If you've never seen a serious heat stroke patient, they look awful.
I mean, truly, horrificly awful
Aggitated, combative, that horrible peri arrest sweat that means nothing sticks to them
But you can, if you get this right save their life.
You need to cool them
Mark Tehan retweeted
I read the @hsib_org report into emergency care yesterday and took some edited "highlights" which will apply to many / most if not all NHS EDs right now - purely from an EM perspective: others will comment on ambulance and in-patient factors 🧵 1/n
#EmergencyMedicine #MedTwitter #Nursing #EmergencyNursing
After the last few days in ED, I've been thinking about 'spans of control';
How many patients can a Nurse in Charge (of an area) be safely responsible for at any one time?
How can we improve or manage this?
Mark Tehan retweeted
#MedTwitter, I'm helping to deliver a learning session on intubation for new ED nurses, to prepare them for the situation. What should we include? Any tips?
Please RT if you know any ED nurses! 💉