Cycling to work, I passed a man in a hi vis jacket, who looked at me and said, “English or enemy?” I looked back at him as I passed slowly, puzzled. We have come so far with Far Right radicalization that even I (White British) am getting hateful comments. It needs to stop, this is so dangerous.

Today I came to use my office post it notes, and I found this. I have no idea who wrote this, but what an amazing thing to do! Thanks to whoever it was. You’re also *awesome*! 😊

🎥 We’ve produced a short video to highlight the value of partnership between the @nihr.bsky.social Manchester Biomedical Research Centre and industry. 🎬 We believe this is crucial to drive improvements to health and care. youtu.be/PeIiFLhwCiI?...

Trevor Philips, "What is the implication of the white poppy?" Zack Polanski, "The white poppy began after WWI, mainly from women's groups, who talked about peace and antifascism" "So on the same day we remember the fallen, it's also about looking to the future and saying, we want a world of peace"

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

If you see this, quote with a robot that is not from Star Wars, Star Trek, Doctor Who or Transformers

Latest EMJ podcast now out, covering 🥁🥁🥁 🩸 Blood products in paediatric trauma ⌚ Predicting ED waiting times 👀 🔍 Same Day Emergency Care 📲 Digital streaming tools 📖 Plus, 'Whose turn is it?' A SUBLIME poem ❤️‍🔥❤️‍🔥❤️‍🔥 🍎 lnkd.in/eYat4HpQ 🎧 lnkd.in/eQaz_yVV 🛜 lnkd.in/eggSh7yU

October’s quote of the month is from a Langston Hughes poem. “Hold fast to dreams For if dreams die Life is a broken-winged bird That cannot fly”.

It’s September, so it’s time for another office quote of the month! This time, it’s from Carl Jung

I’m honoured to be starting as Editor in Chief at the Emergency Medicine Journal from January 2026. 😬🤩 I’m both daunted and excited, I’m so grateful to Ellen Weber and all the fantastic people I’ve been working with on this journey & I’m looking forward to building a bright future for the EMJ! 📈🚀

We are excited to launch our new talk series: Care, Outcomes, and Reform of Emergency Systems (CORE) Talks. Free Zoom seminars on policy-relevant evidence about EDs, telemedicine, and urgent care. www.coretalks.org Today at 11a EST, Dr. Jesse Pines, “How AI May Transform Emergency Care.”

Three weeks ago, a patient kicked me so hard in the temple. It took at least 10 days to recover from the concussion. Tonight, it happened *again* - kicked in the eye & across the room by another patient as I calmly tried to talk him down. I’m not the only one. And it’s completely unacceptable.

Too many of my peers & those decades older are not cognisant of the facts around the problems for Resident Doctors Who are paid 20-30% less, have £100k student debt, will have substantially lower pensions Yet here they are speaking to the media from their positions of privilege Check the facts🤷🏻‍♂️

applying for jobs again

Always . Last shift I sat down with an upset colleague and counselled them . The previous shift I broke very bad news to a patient and family . Later on in that shift an aggressive man triggered my latent PTSD and the team looked after me . We must take time to be compassionate .

June’s quote of the month for my office board. This one is courtesy of Carl Jung!

Is there still room for compassion in emergency care? I answered this question in a @stemlyns.bsky.social blog, over a decade after I first led research on this topic, which should always be at the heart of emergency care… www.stemlynsblog.org/is-there-sti...

Is there still room for compassion in emergency care? At @stemlyns.bsky.social. Over a decade after I first talked about this topic, I revisited it with some of the many things I’ve learned more recently about compassion in our daily practice. www.stemlynsblog.org/is-there-sti...

The FA has banned trans women from playing women’s football. What problem does it solve? How were the 0.0002% of players who are trans (none of them professional) causing harm? Sport should be inclusive, it’s so important for health. Excluding whole groups without justification is totally wrong.

One of my favourite quotes from Pope Francis, who said he would be a “Pope of the poor”. He spoke out against injustice, emphasizing the need for compassion, calling for peace & strongly supporting the Palestinian people under attack. Rest in peace.

It’s right that our society should be worried about women’s safety. Violence against women & girls is rife, and we all have a responsibility to tackle it. But the answer is not to blame trans people. Effectively banning legal gender transition will not help. Trans rights are human rights 🏳️‍⚧️

This makes me extremely proud to work at MFT. We have the *only* printed collection of the human genome in the UK with each chromosome *organised by colour*. Outstanding.

Quote of the month. This is from Charlie Chaplin’s famous ‘The Great Dictator’ speech, and I think it’s pertinent right now.

Today is Transgender Day of Visibility. Trans people face huge challenges from >5 year NHS waiting lists for care to homelessness (1 in 5) to >40% of employers unsure if they’d employ a trans person, verbal abuse (85%), assault (29%/3 years) & much more. It’s more important than ever to mark today 🏳️‍⚧️

Eid Mubarak to all my Muslim friends and colleagues, and to everyone celebrating! I hope you all have a fantastic celebration and get to spend some time off work.

Does this make America great? They have deported people to be locked up in a for-profit super prison in a third country, with no trial, some apparently simply because they ‘had a tattoo’. How could humans do this? 😢

This feels like a Parkland shooting moment. If Americans don't care about dead kids we aren't gonna get gun control. If they don't care about their OWN DEAD KIDS then I'm not sure how you fight back against that

Here we go again... “The end of NHS England [...] 'reform' is one of the trickiest words in the political lexicon..." Read more 👇 @imcdermott.bsky.social @drdon.bsky.social @kathcheckland.bsky.social @benwealthy.bsky.social @richardbody.bsky.social @surin75.bsky.social @cath-lewis.bsky.social

Narratives from the rapid and devastating collapse of US civilization, continued.

If you’re an emergency physician, we’d be really grateful if you’d take just a couple of minutes to give your opinion on the management of abdominal pain in the ED, via this short survey… docs.google.com/forms/d/e/1F...

Also he should wear a suit while doing this

Awkward - and actually really sad - questions, that need to be asked so much right now if we ever want a world with equality. vm.tiktok.com/ZNdeDx1T1/

Great news - the NIHR Incubator for Emergency Care is now on Bluesky! 👏

"Key limitation of term non-pharmaceutical intervention lies in its definition by negation. It describes interventions by what they are not—pharmaceutical products e.g. drugs and vaccines—rather than by what they are" read more👇 @richardbody.bsky.social @fbmh-uom.bsky.social @imcdermott.bsky.social

*screams in Emergency Medicine

The Manchester Healthtech Research Centre (HRC) in Emergency and Acute Care has released its Public & Patient Involvement and Engagement (PPIE) Strategy 2024 – 2029. Read the Strategy 👇 hrc-emergency.nihr.ac.uk/patients-pub... @richardbody.bsky.social @letsgetvocal.bsky.social @fbmh-uom.bsky.social

Today is a very, very sad day for human health, science and progress. www.theguardian.com/us-news/live...

Here’s a review we’ve just published, providing what’s hopefully a handy guide to implementing a hs-cTn driven chest pain pathway. It was an honour to work with such a great team!

A lot of people won’t understand what our NIHR Biomedical Research Centre is or what we do. Here’s an amazing example of its value. The work on inclusive research spans all fields of health & care research, allows us to share learning, represent our population far better, & improve health equity.

“A sane government would never do this.” — the former dean of Harvard Medical School Universities are reeling. Elon Musk’s allies are celebrating. Looking at the major cut to federal research funding — which many scientists predict will be devastating With @lenasun.bsky.social and Carolyn Johnson

Why slashing NIH Indirect Costs will devastate scientific advancement in 🇺🇸

1/ Inequalities! "Systemic issue in NHS: where there is lack of evidence, there is caution, but rarely an increase in research. The uncertainty persists, the caution persists, & potential improvements to health are not realised" 👇 www.kingsfund.org.uk/insight-and-... @richardbody.bsky.social

Quote of the month for my office. This one is courtesy of my daughter’s Winnie the Pooh book - I read it to her and instantly liked it!

In Feb’s EMJ podcast, @drsarahedwards.bsky.social & I discuss: ⚧️ Sex & gender equity in emergency care research 🦠 Multiplex testing for COVID & flu 🫁 Nebulised steroids in asthma 💉 Intradermal saline in renal colic 🍎 Apple: lnkd.in/eNF-Gxmr 🎙️ Spotify: lnkd.in/edwRNhVa 🛜 Web: lnkd.in/efMEPYVj

This is now beyond dystopian. The US CDC orders mass retraction of research mentioning “forbidden” terms in a despicable attack on free speech and LGBTQ+ people.

This is the energy we need. Thank you Tim Walz. We would have been so fortunate to have you as our VP. #timwalz #walz #meidastouch

When humans lose empathy, they commit atrocaties. Here’s yet another from you know where.

Never forget.

10y results of the SCOT-HEART #MI #CTCA trial out. www.thelancet.com/journals/lan... One opinion here: open.substack.com/pub/sensible... What's your take #CardioSky?

Our NHS is not for sale. Trade talks with Trump must not open the door to US healthcare companies profiting from our NHS. Keir Starmer must protect our NHS by keeping it off the table during negotiations. Join me by adding your name to 38 Degrees’ petition: act.38degrees.org.uk/act/-don't-s...