𝗕𝗲 𝘆𝗼𝘂𝗿𝘀𝗲𝗹𝗳 by Seth Godin Which self? The self you were when you were two years old, almost out of diapers? The self you were when you were screaming with the fans at the big game? The self you were after a long night? (1/2)

Do you ever debrief yourself with an AI agent (such as ChatGPT)? Do you ever discuss your mental health with an AI agent? After a tough shift. Or when things get tough. And you just need to talk. I do. 🗣️🤖 #EMedsky #EMsky #Medsky ai.nejm.org/doi/full/10....

🚨 AfJEM Webinar Alert! 🚨 📖 Want to get published? Join us on March 26, 2025, at 1 PM CAT (GMT+2) for expert tips on mastering article writing! 📝✨ 🔗 Click to register https://researcheracademy.elsevier.com/workshop/b6416c1f-085b-4794-b881-5efc54b08548 #AfJEM #GettingPublished

People who can’t handle criticism are unfit to lead. Weak leaders fear dissent as a threat to their power. They silence their critics to shield their egos. Strong leaders welcome dissent as an opportunity for growth. They silence their egos to learn from their critics.

The hallmark of expertise is no longer how much you know. It's how well you synthesize. Information scarcity rewarded knowledge acquisition. Information abundance requires pattern recognition. It's not enough to collect facts. The future belongs to those who connect dots.

No one envisions a future that’s defined by instability, declining opportunities, and a world where "least-worst" is the best we can hope for. But here we are. 🌍 🌏 🌎 🎯

▶️ playlist for: 𝗧𝗵𝗲 𝗙𝗼𝗿𝗲𝗶𝗴𝗻 𝗚𝗮𝘇𝗲 open.spotify.com/playlist/5K5...

𝗧𝗵𝗲 𝗹𝗼𝗻𝗲𝗹𝘆 𝘂𝗻𝗶𝗰𝗼𝗿𝗻 ... 𝘧𝘳𝘰𝘮 𝘚𝘦𝘵𝘩 𝘎𝘰𝘥𝘪𝘯 If there’s at least one unicorn in the world, it’s likely not the only one. And if one can make a valid English word from seven Scrabble tiles, it’s likely that more than one word can be found. 1/3

𝗔𝘁𝘁𝗲𝗻𝘁𝗶𝗼𝗻 𝗮𝘀𝗽𝗶𝗿𝗶𝗻𝗴 𝗮𝘂𝘁𝗵𝗼𝗿𝘀 Aspirant African EM authors who either have a dissertation to publish, or a first time research publication An hour long webinar, with pointers and pearls, key resources and Q&A Register here: researcheracademy.elsevier.com/workshop/b64... #Medsky #EMedsky #EMsky 🌍📝🤓

I sat in the audience at Africa's first emergency medicine conference in South Africa in 2011 when Joe O'Neil related in a keynote how PEPFAR came about. Joe wrote this editorial for @afjem.bsky.social, a journal I edited at the time. Well worth a read. 😢 www.sciencedirect.com/science/arti...

The loudest voices rarely represent the majority. They're usually speaking for the extremes. You won't understand the views of a group until you've invited the quieter voices into the discussion. Don't mistake silence for disengagement. It's often a sign of deep reflection.

Productivity is overrated. What counts most is the quality of output, not the quantity. People may be impressed by the volume you produce, but impact depends on the value you create. Success is not about getting more things done. It's about doing more worthwhile things well.

On misaligned incentives and consequences in urgent and emergency care (UEC) 🏥🚑🚑🚑 🚑... 🚑... .../thread #Medsky #EMedsky #EMsky

On what is not a service productivity improvement... ⚙️ 🏥🚑🚑🚑 🚑... /Thread... #Medsky #EMedsky #EMsky

Love this

It takes curiosity to learn. It takes courage to unlearn. Learning requires the humility to admit what you don't know today. Unlearning requires the integrity to admit that you were wrong yesterday. Learning is how you evolve. Unlearning is how you keep up as the world evolves.

Patient self-directed sliding scale furosemide is an underutilized tool in CHF management Can a simple weight-based dosing strategy empower patients to manage CHF, prevent exacerbations, and reduce ED visits? Let's dive in! 👇 #medsky #pharmsky #cardiosky #EMsky #GPsky #MedEd 1/

⭐NHSE planning guidance published 30 January⭐ Much of investment to improve flow through ED to be targeted outside ED. Have a read and post your thoughts. 🏥🚑🚑🚑 🚑... #Medsky #EMedsky #EMsky 🔗https://www.england.nhs.uk/long-read/2025-26-priorities-and-operational-planning-guidance/

Long waits in A&E kill patients. Maybe a thousand every month. The recent ONS analysis has issues but makes the problem look worse than previous analyses: www.hsj.co.uk/daily-insigh...

Observation is an investigation My #DFTB23 Keynote talk. Spoiler: The decision to observe needs to be an active one, not just a process to avoid making a decision. www.youtube.com/watch?v=wtIw...

When the ONS analysis of relative mortality vs waiting times in A&E departments was published last week they omitted some critical information. But the pattern of higher mortality with longer waits was very clear...

Sometimes senior NHSE leaders say things that accidentally reveal the biggest reasons why they can't fix major NHS problems. This speech from Steve Powis is an example: www.independent.co.uk/news/uk/step... ...

Solving crowding in A&E: Reduce attendances or improve flow though hospital beds? 🧵👇 #EMedsky

Kinds of incompetence The second worst is the unaware sort. The work doesn't meet spec, and we don't even realize it. The worst is uncaring. We know the work doesn't meet spec, but we don't bother to fix it. But there are other varieties, and some are worth seeking out: There's the incompetence of…

🔥 Hot off the press: Empowering emergency nursing in Africa through research https://buff.ly/3DY4cx5 #Medsky #EMedsky

“There must be a point where we go beyond analysis and accept that this is a serious problem that needs urgent political action.” RCEM's President responds to ONS research concluding patients who wait in A&E for more than two hours are exposed to an increasing risk of death - tinyurl.com/5fkpp4b6

Relationship between ⌚ spent in A&E & odds of 30-day, post-discharge, all-cause mortality: Compared with patients who spent 2h in A&E, the odds of post-discharge death were: 🕒 1.1 x ☝️ if spent 3h 🕕 1.6 x ☝️ if spent 6h 🕘 1.9 x ☝️ if spent 9h & 🕛 2.1 x ☝️ if spent 12h #EMedsky 🔗 shorturl.at/Tvw9e

We are not documenting crowding in individual patient notes. Makes it difficult to give context around delayed care for coroner, solicitor etc Do you document crowding in clinical notes? If so what phrases do you use?

🙌 Essential Leadership Tips for 2025 Are challenges like communication and culture puzzling you? Start the new year strong with leadership advice from MIT SMR experts. sloanreview.mit.edu/article/10-e...

With an important annual midnight looming, it's worth reflecting how our UEC systems (including A&E) are resourced at this hour. 🕛🌃 🎉🥳🪅 🚑... A thread .../1 #Medsky #EMedsky

With an important annual midnight looming, it's worth reflecting how our UEC systems (including A&E) are resourced at this hour. 🕛🌃 🎉🥳🪅 🚑... A thread .../1 #Medsky #EMedsky

Review of the ELECT2 Trial (EarLy Exercise in blunt Chest wall Trauma) by @emmanchester.bsky.social for @stemlyns.bsky.social #FOAMed #MedSky #EMedSky www.stemlynsblog.org/early-exerci...

Lots of pressure for the 🎄meal. 🤯 Testing South African malva pudding with adaption for gluten and diary intolerance. 😋/😯 Using this recipe: www.biggerbolderbaking.com/south-africa... Swapping flour for doves farm GF flour/almond flour, and milk and cream for almond and coconut alternative. 🥛🥥

🔥 Hot off the press: Framework first: Key insights on developing emergency medical care policy in low- and middle-income countries https://buff.ly/4gM9gT4 #Medsky #EMedsky

Thank you so far for those who have completed this. I’m looking for more responses from the south west, south, London and Northern Ireland especially. But we have lots of hospitals we’ve not managed to reach yet. Thank you buff.ly/3Brlh1d #PublicHealth #emergencymedicine

3/ See EMCrit's amazing IBCC chapter on angioedema: 👉 emcrit.org/ibcc/angioed... (there's a nice diagram from @pulmcrit.bsky.social showing the pathways & vicious spiraling cycle!)

Mitigating the harm from delayed initial A&E assessment when ambulances cannot offload... 🏥🫸 🚑🚑🚑 🚑... 🚑... A thread .../1

Coordinating, consulting and managing an entire acute clinical service in real-time is fairly unique to EM. Central to this is the emergency physician in charge (EPiC) role. Following a busy 🌃 I'm resharing my mental model for the EPiC role. 🏥🚑🚑 🚑... #EMedsky www.stemlynsblog.org/an-epic-ment...

A simple trick for a decent meal/ drink choice when out with other clinicians is to blindly order whatever the anaesthetist orders. Never fails. 😷🧆🥘🍷👌 #Medsky

Key messages from the EXIT project - all in animated form! 5 years work into 2 minutes - please take a look and share! Key studies here: tinyurl.com/48d4jpff tinyurl.com/3kxdeuz3 tinyurl.com/3yeja4us YouTube link here: youtu.be/hquLBLjkhpA #extrication #medblue

The Arrival by Shaun Tan weaves a beautiful, thought-provoking, human perspective on belonging. It teaches that our personal journeys are big but unseen, and it is how we treat each other that defines us. It is the perfect gift for reflection for this festive season. www.shauntan.net/arrival-book

With multiple front doors into urgent and emergency care (UEC), why don't we measure performance at each? 🩼 & 🚑 = 👌🕓 / 💺 = 👎 #Medsky #EMedsky .../1

You cannot staff an A&E like an outpatient clinic, but it's really hard not to. ☀️: 🚑... 🏥🚑 🚑... 🌖: 🏥🚑🚑 🚑... 🚑... A thread #Medsky #EMedsky .../1

You cannot run an A&E like an outpatient clinic, but you can run it like a fire service... 🏥🔥 🚒💨 A thread .../1 #Medsky #EMedsky

An opinion is an idea we are very attached to. 🤔🔗💭 It is not necessarily correct. 🫸💭 The best leaders actively invite challenge to their opinion. 👈✋💭👉 This approach requires psychological safety, a tremendous amount of emotional intelligence, and a nack for avoiding echo chambers. 👍💭

Is sharing our writing a thing here? 😊 Proud of this piece because it represents the work of so many trying to make medicine and communication better for our patients. #MedSky www.mayoclinicproceedings.org/action/showP...

This WSJ article has been making its way around the internet but it highlights some interesting points on how younger #physicians tend to value work/life balance as critical in their careers as compared to older generations. Some additional thoughts: www.wsj.com/lifestyle/ca... #MedSky #RadSky

2024 has become the deadliest year on record for humanitarians We desperately need a ceasefire!

Non-native English speakers need 50% more time to write a paper When they do, they face a 2.5 times higher chance of being rejected because of language journals.plos.org/plosbiology/...