A&Es in ‘big trouble’ because of ‘normalised’ corridor care, says leading UK medic

It really doesn’t!

The waiting room has to be the scariest place in the emergency department for registrars (in charge overnight) and consultants. So much unknown and unseen and changeable! #EDOvercrowdingKills

#AnkleFracture Classification doi.org/10.1111/1742... @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM

#PreHospital #ResuscitativeThoracotomy doi.org/10.1111/1742... @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM #PHEM

The effects of nudge-based clinical decision support interventions on test ordering doi.org/10.1111/1742... @drsimoncraig.bsky.social @firstdonoharm.bsky.social @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM

Patients with prolonged inpatient length of stay doi.org/10.1111/1742... @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM

Decision Making in Emergency Medicine #Opinion doi.org/10.1111/1742... @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM

Ordering practices of urine Microscopy Culture and Sensitivity tests in a regional NSW emergency department doi.org/10.1111/1742... @katecurtis.bsky.social @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM

The timeliness of #prehospital response by single role versus multirole physician-staffed prehospital models doi.org/10.1111/1742... @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM #PHEM

Feasibility of discharging patients with #AtrialFibrillation with a portable single-lead ECG device to monitor their rhythm remotely at home doi.org/10.1111/1742... @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM

An integrated #GeriatricEmergencyMedicine short stay unit doi.org/10.1111/1742... @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM

Patterns and characteristics of ED visits initiated by frequent presenters and other ED attenders doi.org/10.1111/1742... @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM

This article very clearly outlines why medical practitioners are struggling worldwide (also, I suspect, not just residents and not just the UK)

Welcome to the team and congratulations @tshanahan0584.bsky.social !

I’m happy to share that I’m starting a new position as Section Editor - Trainee Focus at Emergency Medicine Australasia! @emajournal.bsky.social

Horrific scenes at Bondi beach. It has a special place in my heart as we stayed there over 13 years ago during our civil partnership. My thoughts go out to my adopted country, the local community, Jewish people & all those at Bondi beach & 2 the emergency services, responding to the violence.

Column: Tuesday’s surprisingly competitive special election in Tennessee, after President Trump won the district by 22 percentage points last year, shows that Republicans may be in trouble with their base for midterm elections.

The Grauniad headline vastly exacerbated the slightly confused report by claiming "soaring demand" as the cause. This, as you say, distracts from the key actions that would fix the problem.

Media reporting (and parts of the RCN report) seem to conflate "increased demand for urgent care" with "increased pressures on hospitals". In doing so - they're obscuring the drivers of the problem and leading readers towards ineffective solutions (i.e. more staff, more funding).

But it draws the wrong conclusions on workforce: worsening A&E performance has happened despite 30%+ increases in the number of nurses working in hospitals since 2019. RCN implies these increases are insufficient due to "increased demand". But, as we've seen, this is just incorrect!

The full RCN report is mixed. It's reasonable to highlight high bed occupancy rates as a driver of A&E problems. If there's nowhere to admit patients to, they're either stuck waiting for hours, receive (unsafe) corridor care, or are forced to leave before receiving treatment.

The data *in the report cited* is enough to disprove the hypothesis that poor performance is driven by increased demand. (See +3% attendances vs +8,033% in 12 hr waits) The real cause of long waits in A&E is poor patient flow, driven by operational dysfunction in other parts of hospitals.

The poor outcomes in A&E are obvious to anyone who looks at the numbers or has simply been to an ED in the last few years. But as @policyskeptic.bsky.social has repeatedly argued, incorrect diagnoses of the *drivers* of poor outcomes are obstacles to solutions which will improve performance.

Misleading write-up - it's true that there is a crisis in A&E, but this is not because of "soaring demand". The RCN report itself shows that A&E attendances are only 3% higher than in 2019, while 12+ hour waits are 8,033% higher. www.theguardian.com/society/2025...

Listening to the Aussie former players / commentators absolutely hammering England after the 1st innings. They sd know better - you cant judge until both teams have batted. Eng excellent bowling attack. Batting was at least at a clip.

"Record numbers of overseas-trained doctors are quitting the UK, leaving the NHS at risk of huge gaps in its workforce, with hostility towards migrants blamed for the exodus" Slow clap to the anti-immigrant rhetoric

Really happy to find out today the below paper got accepted as meeting the FACEM research requirement!!! Another requirement ticked off before starting in February www.sciencedirect.com/science/arti...

New post just out: "The Reality Trap" On Reform's struggles running councils. What it tells us about how they'd fare if they won a general elections. And about how broken our system of local government is. (£/free trial) open.substack.com/pub/samf/p/t...

The first report of the All-Party Parliamentary Group on Emergency Care has revealed the scale of corridor care in England, and the harrowing impact it has on patients. The report, built on research compiled by RCEM through data, surveys and patient testimony, is here: rcem.ac.uk/press-rel...

November's EMJ podcast has dropped, featuring... 🐱Garfield the cat (guest appearance) & @drsarahedwards.bsky.social 🫀 Resuscitation manikins & diversity 🧠 Functional neurology 👶 Serious bacterial infection in infants 🚁 Sedation in HEMS 🍎 lnkd.in/ebTjEkSw 🎧 lnkd.in/ekZij7MD 🛜 lnkd.in/esHRsMBz

Great opportunity for a research special skills #ED registrar job at Southern Adelaide Local Health Network - Flinders. There is a great research team in SA and lots of efforts to develop research opportunities for #ACEM trainees. jobs.acem.org.au/job/3106/eme...

Dean of the Royal College of Emergency Medicine Professor Simon Carley responds to the first phase of the Medical Training Review into postgraduate training of newly qualified medics, published by NHS England last week: rcem.ac.uk/press-releas...

A plan which outlines NHS England’s priorities for the next 3 years ‘offers no meaningful roadmap’ to reduce dangerous long waits in Emergency Departments. Our response to NHS England’s Medium Term Planning Framework 2026/27-2028/29: rcem.ac.uk/press-releas...

My poster at the ANZ Trauma Society Trauma Conference in Wellington. Great few days learning about cutting edge trauma research and practice. Enjoyed catching up with colleagues, meeting up with the trauma in older people community of practice and thinking about future collaborations. #ANZTS25

"We have a debt crisis so I've joined the party that was in power for 14 years and under whom debt massively grew." "Commentator of the Year"

I do think this has been a week in which new levels of 'why don't senior Labour politicians understand we can ALL hear them' have been reached. Why would Andy Burnham do a 'I'm gonna hike taxes on London and the south, you're all rich!' Why would Steve Reed use 'regional politician' as a putdown?

New paper out in @age-and-ageing.bsky.social: Maintaining independence at home after a fall: a process evaluation of the MAINTAIN multicomponent intervention for people living with dementia. Read it here: academic.oup.com/ageing/artic...

Happy to have my TS2 rotations confirmed for next year - 9 months MMC Clayton ED and 3 months Casey anaesthetics. Now need to just find a place to live.

Nau mai, haere mai. www.govt.nz/browse/immig...

What Factors Could Create a More Comfortable Waiting Experience for Patients on Emergency Department Ramps? A Scoping Review - Binnie - 2025 - Emergency Medicine Australasia - Wiley Online Library onlinelibrary.wiley.com/doi/abs/10.1...

An interim care plan model of care for direct inpatient admissions doi.org/10.1111/1742... @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM

Empiric antibiotics for acute pyelonephritis doi.org/10.1111/1742... #OpenAccess @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM

The relationship between the duration of transfer and the risk of in-flight deterioration in aeromedical trauma patients #OpenAccess doi.org/10.1111/1742... @wiley.com @emfoundation.bsky.social #MedSky #EMSky #EMedSky #emimcc #ACEM

ED headache patients without neurological features who are diagnosed with a serious secondary headache cause #OpenAccess doi.org/10.1111/1742... @wiley.com @gkeijzers.bsky.social #MedSky #EMSky #EMedSky #emimcc #ACEM

The Gendered Double Burden in Emergency Medicine doi.org/10.1111/1742... @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM

A debate Labour badly needs to have:

It's possible that something good has come of the Rayner affair. There is such an urgent need for this conversation in Labour right now, for some kind of beating heart to the project - a memory that it does actually have values it is prepared to fight for www.theguardian.com/politics/202...

Read @jilldlawrence.bsky.social! www.thebulwark.com/p/shocking-i...

Cost of training is one thing to factor in with any move of country. U.K. was pretty high. But wildly high in Australia and only going up and up. I guess you can get some back on tax in a year 🧐 🤔