EM/PEM Consultant. Proud mother of a German Shepherd 🐕
United Kingdom
Joined November 2012
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This 👌🏻.
Firmly believe experienced clinicians can do the ‘end of the bed test’ and it is better than any scoring system. Please listen 🙏
In this study of critically ill adults in ED, the physicians gut impression within 15 minutes performed better than any other existing tool in identifying sepsis
So why do we feel forced to use screening tools which we know cause their own problems?
annemergmed.com/article/S019…
Clare 💙 retweeted
Hearing that ED teams are under direct and at times unreasonable pressure to achieve NHSE's articifically low 4-hour standard. This is currently set at 76%. We risk hitting new lows in terms of crowding, and behaviours, in the face of sustained pressure on EDs. @RCollEM 1/3
Clare 💙 retweeted
Every winter we see our services at breaking point due to illnesses caused by viruses such as RSV. An RSV vaccination programme could be transformative.
We need your help to persuade the UK Government to make this a reality.
Sign our open letter today! rcpch.eaction.org.uk/RSV
ALT A canva card stating: Take action. Sign our letter calling on the government to roll out an RSV vaccination programme!
Clare 💙 retweeted
Outpatient and primary care direct provocation challenges for antibiotic allergy in children
Clinical decision-making algorithm delabelled 91%
@sheffkids65
adc.bmj.com/content/early/20…
😞
Mother, 39, collapsed under her coat and died after seven-hour wait at crowded A&E lbc.co.uk/news/mother-found-…
And this 😞
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
Clare 💙 retweeted
I have just finished another set of incredibly difficult weekend nights as the A&E consultant incharge.
Some thoughts:
The NHS no longer provides unscheduled care - we provide treatment. Care is with dignity - that's impossible for our patients in corridors.
The model of acute care is not working or sustainable. We need a completely different approach - with long term investment in prevention and community care
111 need to change risk thresholds as far too many come to a&e when they don't need to.
There needs to be alternative pathways to get care overnight for those who don't have accidents or emergencies. A&E shouldn't be anything and everything
Staff are broke - supporting staff is just as vital as looking after patients
This government have totally decimated our the NHS. They are the ones who should be apologising to our patients not our staff.
Hundreds are dying each week because of lack of hospital capacity and corridor care in a&e, yet it's not on the news and no public uproar. As staff and patients we have accepted the unacceptable.
Everyone needs to know the reality of what is happening - so that politicians offer a different solution and patients get the care they deserve. Sadly most of the public have no idea of what is genuinely going on.
And finally, a post night fry up is the best antidote for the stresses of the weekend. Goodnight! – at England, United Kingdom
Clare 💙 retweeted
“You can’t get an ambulance, or a hospital bed! There’s no point in suggesting strikes are causing this problem.”
@maitlis challenges @grantshapps over proposed strike laws for ‘minimum safety levels’ during the ongoing A&E crisis.
Coming to @GlobalPlayer.
@maitlis | @jonsopel
Clare 💙 retweeted
🗣️ 'We cannot treat people in car parks'.
An emergency medicine spokesperson tells Sky News that pressures on emergency services are so great that effective treatment is not possible.
Latest news: trib.al/Rx0iR33
Clare 💙 retweeted
During budget @Jeremy_Hunt joked he "listened carefully" to his former proposals.
When talking about the need for #retention, can even hear members of the house heckling "pensions?"
So @Jeremy_Hunt lets *finally* solve the issues with #retention
RT if you want him to fix it
Clare 💙 retweeted
Congratulations to our winners and highly commended nominees in Cumbria Fire and Rescue Service's People Awards 2022. 👏
ALT Cumbria Fire and Rescue Service People Awards 2022 winners and highly commended nominees.
Clare 💙 retweeted
🚨 BREAKING: NHS chiefs and regulators have written to hospital bosses admitting winter could be so bad NHS staff may have to "depart from established procedures" to care for patients. Letter says regulators will take the challenging situations into context...
Clare 💙 retweeted
Yesterday I was arrested by @HertsPolice whilst covering a protest on the M25.
I showed my press card, and I was handcuffed almost immediately. My phone was snatched out of my hand. I was searched twice, held in a cell for 5 hours, and I wasn’t questioned whilst in custody.
Clare 💙 retweeted
After 12 years of underfunding, the NHS is creaking and on the point of collapse. No-one wants this and the system let's us all down, both patients and dedicated staff.
The Tories cannot be trusted with our NHS.
Clare 💙 retweeted
THOUGHT FOR DAY: In 2021 LTA@£1.073m = public sector pension of £46,657 before breaching
With inflation 10.1% '22, 7.9% '23 LTA should be £1.423m buying same pension of 46.7k
Instead LTA will by 27/28 be real terms £818k = pension just £35.6k!
RT if you agree➡️NHS collapse 📉
Clare 💙 retweeted
So lucky to have the MVP programme founder join us for the 16 Days of Learning practitioner event #16Days
Booking now via Eventbrite education.gov.scot/education…
Clare 💙 retweeted
This is the story of a mother who fought to protect her daughter in life and then to get to the truth of her death.
