"Lesser injuries" aren't the reason for ambulance ramping & 400 waiting for beds.
The days of the Christmas bed clearout have gone. There are no beds. Flu has hit everyone hard. Exit block is endemic. And patients *will die* as a result.
#CrowdingKills #NHSCollapse
www.bbc.co.uk/news/article...
@kermodeandmayo.bsky.social Saw Wicked this morning. Goodness it's long. Dozed off for a bit. Defying Gravity very uplifting at the end. Cynthia Erivo & Ariana Grande very good. How is it only halfway through? I haven't seen the stage version but is this not a bit self-indulgent / ill-disciplined?
The answer to your question is “Yes.” BTW.
Emergency Medicine teams, and many of my friends in what is now known as Acute Medicine, are good at this sort of “palliative care in a hurry in a less than ideal environment”.
GPs could do so much more if given the resources too.
And you’re right about the mishandling of the LCP.
#EOLC
But we’re a sticking plaster as ever for a system that is fearful and with skewed priorities.
TBH, if I had the chance, I’d love to do some time in proper palliative care in the future. I think I could be good at it.
Thanks Trisha. That’s kind.
I’m not a zealot. But I do get frustrated. The mishandling of the LCP has a lot to answer for. Led to a lot of fear and some dysfunctional behaviour.
What I do now bears no relation to the start of my career and my training. EM is getting better at this.
As part of my background I’ve struggled with this - it doesn’t need spelling out.
But as I’ve aged I’ve concluded that people need to have it available. With stringent safeguards but also with compassion.
As I say regularly in my shop, are we saving life or prolonging death?
#YODO
We are still not having that conversation early enough.
I’m not going to flame the usual culprits as it’s pointless.
But predictable EoL care should not have to be commenced in EM. If it goes wrong, fair enough. It’s part of our job now. But if it’s not a surprise, others need to do more. Earlier.
But it ain’t available after 1700h on a Thursday. Or really any time in my ED - it’s just us and if the palliative care team do us a favour.
There’s room for both in this debate: investment in excellent palliative and EoL care as well as giving people the choice to end their life with autonomy.
What a grievous loss for the BBC and us the audience.
Brilliant journalist, and such a fine person and role model
www.bbc.com/mediacentre/...
I hope his memory is a blessing to you today, Rachel.
After over 20 years my mum died of breast cancer a few months before your Dad.
This year my Dad died of an aggressive cancer in a few weeks. The palliation and home care he received on the NHS in Northern Ireland was second to none.
We disagree on assisted dying. But so much agree on the NHS.
Who are they?
Are they a new beat combo? Like The Stone Roses?
Was lucky enough to see Phil Hughes play in 2009.
I remember his injury like it was yesterday.
#PutOutYourBats #63notout
www.bbc.co.uk/sport/cricke...
I’m very concerned about mitigations being planned for another hellish NHS EM winter.
For us cricket tragics, it’s “setting a field for bad bowling”.
Your fast bowler starts spraying it everywhere and instead of asking them to bowl better, you put the fielders where the ball is gonna be smacked…
Post a gif of your comfort show
Question Of Sport is the only one I’ve seen, and is rubbish. Makes no sense at all - even for a Bond movie.
It’s all quite good nostalgic fun at the moment, isn’t it?
Like every day’s a #FF day….
Ah, Ken. A fine man. A true blue Evertonian. A great journo. Vale.
And THAT is exactly how people with a huge sense of entitlement regularly behave when they get caught out.
#JeremyClarkson
The protestors want to call it "the tractor tax" because calling it "the inheritance tax protest" would turn off public opinion.
The tractors coming into London today, in fact, pay no road tax, no congestion charge, and no ULEZ.
Exempt from all.
Not doing a performative flounce from the oul bird.
I’ve had an account here for months but done nowt with it. Interested to see how content and moderation goes. And still important to have voices you disagree with on platform rather than a right-on echo chamber.
Foolish to think this place will be much different to the other.
Waiting to see what develops.
It does feel like a bit of a critical mass has been reached mind you.
Whether the immediacy and news content can match the old style bird or not remains to be seen.
But worth a shot.
Right so I'm not ready to leave *the other place yet* and I have no idea what I'm doing here.
Yet here I am, same as always.
Same rules of engagement, or otherwise, and have already blocked one undesirable.
Hopefully the last one!
#WelcomeToBlueSky
I have - but I'm curating this very strictly for the time being.
One of the first images I've seen is NSFW "Furry".
It's not the most encouraging start...
