Miles Gandolfi retweeted
If you half the number of hospital beds it doesn’t require a team of management consultants to work out why patients are stuck in corridors 🤷♂️
Corridor care is unacceptable and undignified.
To end it, we’re sending specialist teams to the hardest‑hit NHS trusts and rolling out new urgent care services.
This includes new and improved urgent treatment centres and same day emergency centres.
Read more:
gov.uk/government/news/nhs-e…
Miles Gandolfi retweeted
A short seven years (!) after I started writing the code, it’s great to see this paper published.
We use high-frequency NHS to data show that short-staffed, less experienced nursing teams deliver worse outcomes – with the largest mortality impacts for patients with sepsis.
Miles Gandolfi retweeted
Dear @David_Cameron
I know you mean well, but unfortunately screening for early disease may sound logical and sensible but can also be ineffective and harmful. Recommending a bad test leads to false reassurance, and harms through unnecessary or ineffective treatment that only /
I am disappointed by today’s recommendation on prostate cancer screening from the National Committee.
Targeted screening is a natural first step - but the recommendation today is far too targeted, not including black men or men with a family history, both high-risk groups.
Prostate cancer is the most common cancer among British men. We are letting down too many men if we don’t push for a wider screening programme that includes all high-risk groups - and not just the men involved, but their families too, who risk losing a loved one unnecessarily.
As I know all too well, prostate cancer can be symptomless early on. That’s why screening is so essential - catching the cancers early when they can be more effectively and successfully treated, like in my own case.
I urge @wesstreeting and the government to be brave and bold on this crucial issue. Make the first step more significant than what’s being recommended. Put in place a proper, targeted screening programme that involves all those at higher-risk. Without it, more men will die, more families will lose a loved one. This is avoidable and can be done.
Miles Gandolfi retweeted
DECAF trial: continued consumption of caffeinated coffee was associated with a 39% lower risk of AF/AFL recurrence at 6 months after cardioversion vs. abstinence from coffee. View the slides here: clinicaltrialresults.org/wp-…
Miles Gandolfi retweeted
“Physiology-Guided CPR” 🚨🚨🚨
The inclusion of “physiology-guided CPR” in the ERC resuscitation guidelines marks a significant milestone in progress.
So here are my reflections on the journey we have undertaken and thoughts on the future directions
#SPEAR
🧵
Miles Gandolfi retweeted
Work out the maths. Evidence from England shows that for every 72 people who stay 8-12 hours before admission, there is one excess death. Not tackling this is a deliberate policy choice.
“I am not exaggerating when I say this is one of the most worrying sets of data that I have seen."
The latest performance data for Northern Ireland reveals one in five patients (33,938) waited 12 hours or more to be admitted, transferred, or discharged from major EDs during the first quarter of 2025/26 (1 April to 30 June 2025).
That’s the worst first quarter performance since records began in 2011.
Read the full response from Dr Michael Perry, Vice President for Northern Ireland, here - rcem.ac.uk/press-release/nor…
Miles Gandolfi retweeted
I think I might've found a metric that explains ED exit block a bit better than my previous attempts. The orange scatterplot compares - for each day in the year - ED length of stay (measured in minutes, on the vertical axis) with mean AMU 'movement-adjusted' fullness (arrivals into, and departures from, AMU).
Miles Gandolfi retweeted
Mannekin pictures of a cardiac arrest with the pathology as a dilated cardiomyopathy. What is the definitive treatment…? Where should refractory / recurrent VF in this context go for hospital interventions? What novel therapies are available on scene? 🤨
Miles Gandolfi retweeted
Yesterday, we were joined by @EastEnglandAmb & @HFRS crews for a day of training.
The day was a great opportunity to sharpen our clinical skills, improve team dynamics & enhance patient care under pressure
Thanks to all that attended & to Zoll for their sponsorship of the day
Miles Gandolfi retweeted
🚨 Meet the team: Dr Miles Gandolfi
“I get a great deal of satisfaction from volunteering as a doctor for BHECCS, where we provide advanced treatment for critically unwell patients. My favourite part of the job is the fantastic people I get to work with”
#VolunteersWeek
Miles Gandolfi retweeted
Key output from my PhD fellowship has been published in Resuscitation
TLDR:
🚨 Prehospital critical care teams were less likely to attend cardiac arrest patients in more deprived neighbourhoods.
🚨 No association with neighbourhood ethnicity
🧵...
resuscitationjournal.com/art…
Miles Gandolfi retweeted
We tend to assume that the reason why it takes so long to treat patients in A&E is to do with the number of A&E attendances.
1/12
Miles Gandolfi retweeted
are bigger NHS Trusts better than smaller ones? Do mergers improve performance?
Nope: strasys.uk/the-value-of-focu…
Miles Gandolfi retweeted
Happy National Doctors’ Day!
Our pre-hospital doctors bring the A&E department to the roadside by providing advanced skills & expertise to the most critically ill and injured patients across the region. Thank you for everything that you do!
#NationalDoctorsDay #Beds #Herts
Miles Gandolfi retweeted
We’re recruiting! 🚨
Check if you’re eligible to be a trustee here:
gov.uk/government/publicatio…
Interested parties please send expressions of interest to [email protected]
#BHECCS #Charity #Trustee #Bedfordshire #Hertfordshire
Miles Gandolfi retweeted
✨The Tale of the Equitable Resuscitation✨
Once, there was a man who had a cardiac arrest. 🚑
Unfortunately, he lived 20 minutes from the hospital—just too far to be a candidate for ECPR.
The end.
Already heard it?
Let’s talk about ECPR & equity.
Miles Gandolfi retweeted
Anecdotally, I think this is a relatively common issue in cardiac arrest care.
Take time to perfect the essentials when managing an arrest. Don’t accept anything less. If you’re a team leader, or team member, take time to notice these little things that make the big difference
Defib pad placement is important. Positioning them correctly can double someone’s chance of survival.
Side A is correct. The key difference is that the pad on the left hand side of the chest has been placed on the side of the rib cage, closer to the armpit.

ALT The image shows a side-by-side comparison of two defibrillator pad placements on a CPR training mannequin, labeled "A" and "B." The background is dark blue, and the text reads: "Spot the difference. Do you know the best defib pad placement?" In image A, one pad is placed on the mannequin's upper right chest, while the other is positioned on left hand side of the rib cage, close to the armpit. In image B, one pad is also placed on the upper right chest, but the other one is placed on the left hand side, further away from the armpit and almost on top of the ribcage.
Miles Gandolfi retweeted
🎬
🧵... This is my third and final thread about sodium bicarbonate in critical care 🧂
☝🏻If you missed the first and second part about 8.4% and 1.3% bicarb, I strongly recommend you to read them before moving on 🏃🏻.
teapaw.org/jackdeliuc/status/1888…
teapaw.org/jackdeliuc/status/1891…
🎬 2nd chapter
...🧵This a thread about 1.3% sodium bicarbonate🧂 (aka isotonic bicarb drip) in critical care.
☝🏻 If you missed the first part about 8.4% bicarb, I would strongly recommend you to read it before moving on 🏃🏻.
teapaw.org/jackdeliuc/status/1888…
Miles Gandolfi retweeted
🎬 2nd chapter
...🧵This a thread about 1.3% sodium bicarbonate🧂 (aka isotonic bicarb drip) in critical care.
☝🏻 If you missed the first part about 8.4% bicarb, I would strongly recommend you to read it before moving on 🏃🏻.
teapaw.org/jackdeliuc/status/1888…







































