"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 🧐 🤔

Patients who leave without being seen doi.org/10.1111/1742... @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM

www.abc.net.au/news/2025-09... Tough winter in WA, not helped by poor IT and infrastructure

Voluntary erasure from the GMC medical register granted ✅ Pretty painless TBF and no only money to one regulator as it should be

Very pleased to have two abstracts accepted for poster presentations at ACEM annual scientific meeting on the Gold Coast in November. One is on high vs low energy major trauma in the U.K. The other is on resuscitative hysterotomy in ED in pregnant trauma patients at RMH #ASM2025

Evaluating the Introduction of Humidified High‐Flow Nasal Cannula Therapy Into an Australian Aeromedical Service Within a Paediatric Population: A Retrospective Cohort Study - Yap - 2025 - Emergency Medicine Australasia - Wiley Online Library onlinelibrary.wiley.com/doi/abs/10.1...

Low Back Pain ED presentations by Remoteness and Socioeconomic Status doi.org/10.1111/1742... #OpenAccess @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM

Using the PREDICT Guideline Algorithm for Risk Stratification of Head Injuries in children doi.org/10.1111/1742... @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM

Emergency management of the trauma patient #TraineeFocus doi.org/10.1111/1742... doi.org/10.1111/1742... doi.org/10.1111/1742... doi.org/10.1111/1742... @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM

Very happy to receive notification of my selection into the #FACEM training program starting in Feb 26. With ROPL I will be starting as a TS2 trainee with 39 months of training remaining. Can’t wait to get back on the #emergencymedicine training journey at Monash Health ED.

Gamma-hydroxybutyrate (GHB) related ED presentations #OpenAccess doi.org/10.1111/1742... @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM

How EM physicians navigate the transition from clinician to clinician-coach #OpenAccess doi.org/10.1111/1742... @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM

Application for voluntary erasure - relinquishing GMC registration ✅ They deserve no more money from me for what they are doing to U.K. medical practice

Really happy with outcome of ROPL application for U.K. EM training towards FACEM training. TS1 complete, primary exam complete; 3 months TS2; half paediatrics requirement; major referral requirement for core ED; 6 months non-ED. 19 Aug I’ll hear if I got into training

🥳 Happy to have a poster on resuscitative hysterotomy accepted for the ANZTS trauma conference in Wellington in October.

ED #overcrowding & #accessblock is a challenge everywhere! 140 in an ED and 60+ waiting just before the night shift starts. This picture is similar across Oz This is why I left the U.K. (which is in as bad or worse a situation). Why are Govs not dealing with ramping, access block, crowding?

Signed my Monash Health ED registrar contract today for next year. Now just have to find a place to live next year 😦 🤞🤞🤞

I always say I have not seen a urologist do direct cystoscopy since 1989. I will admit the first time I saw a video TURP I thought the patient was bleeding to death! We have the technology and it is vital we use what you have, if you have it.

Today is a good day! Approval for my research project as ED research registrar at RPH. Looking at patient outcomes in older major trauma patients injured by low energy falls vs high energy mechanisms at RPH from start of 2017 to end of 2022.

Where did you want to work? Starting med school: UK During med school: UK / USA (after time spent at Johns Hopkins) After med school: UK After core training: UK During HST: Australia I’m in Australia because NW EM training scheme sent me 2 a trust I didn’t want 2 go 2 🤷‍♂️

Nurses union to reject pay deal as strike vote looms

Retention is key to success and productivity

Main reason for issues over pay is that Tories failed to maintain pay instead letting it fall 20-35% Labour wouldn’t be in dispute I wonder what the gain is from keeping pay of all NHS staff lower, as retention of UK trained staff becomes a huge problem leading to worse care Retention is key

This Tuesday ACEM training selection committee meets to decide our fate. Find out on 19th August if I got into emergency medicine training in Oz and what, if any recognition of prior learning I will get 🤞🤞🤞

Excited to be a facilitator as part of the CTN workshop on running clinical trials at #ACEM annual scientific meeting in November at the Gold Coast #ASM Should be a great 3.5 hours with an excellent group of clinician researchers, trialists and consumers acem2025.au/workshops/so...

A service designed to provide urgent care for older people and to reduce ED presentations #OpenAccess doi.org/10.1111/1742... @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM

ED presentations from Victorian residential aged care facilities doi.org/10.1111/1742... #OpenAccess @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM

Rapid Rule-Out Criteria for Patients With Suspected Myocardial Infarction #OpenAccess doi.org/10.1111/1742... #OpenAccess @firstdonoharm.bsky.social @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM

Simplicity Is the Ultimate Sophistication: Improve the System to Improve the Basics doi.org/10.1111/1742... #FreeAccess #Editorial @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM

The first trial for CCR Down Under 2025 is RSI from the Pragmatic Critical Care Research Group ➡️Ketamine vs etomidate for emergency tracheal intubation ➡️n= 2364 Join us in Melbourne - Dec 9 & 10 criticalcarereviews.com/meetings/ccr... CCR Down Under is run with the Alfred ICU & Monash Uni

Low Medicare rebates and difficulty finding doctors are blamed for the shock closure of a medical service in regional WA.

What did we find? 6 themes: 1) Elements of surprise — structural ambiguity and unexpected barriers; 2) Unclear direction — limited guidance and inconsistent supervision; 3) Loneliness — professional isolation and detachment from clinical peers;

"Loneliness and isolation represented significant challenges in the fellowship, especially for those in EM. The unique structure of the fellowship and the demanding nature of medical work intensified these feelings" Chimes with my synthesis of change network dynamics & relational structures