Emergency medicine & PHEM doctor. Interests in med ed & human factors. He/him.
United Kingdom
Joined October 2013
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Mark Tehan retweeted
Entry points to hospital. Should more specialties have their own dedicated admissions units? Or should most things come in via a (properly resourced) ED and be sent to the correct specialty from there?
58%Specialty admission units
42%ED
674 votes • Final results Mark Tehan retweeted
I have been doing some work around Silver Trauma, and I am interested to see what the term Silver Trauma means to you. (please retweet) - thank you
In a patient >65 years old(or similar age), does silver trauma mean:-
44%ANY level of trauma
15%Major trauma
12%Trauma BUT NOT major
29%Potential hidden trauma
209 votes • Final results Mark Tehan retweeted
I appreciate this comes across a bit harsh/cynical, and over the years we have had some excellent teaching from other specialties for which I am very grateful.
EM folks: what “top tips” would you give other specialists wanting to “educate” EM about their specialty?
Mark Tehan retweeted
Very well written account of how an excess of caution can contribute to absolutely pointless emergency episodes. Thank you. @acutemedicine
Much more advance care planning is required.
Dad spent two of the last days of his life alone and distressed in A&E – for no good reason. This insanity must stop | Adrian Chiles theguardian.com/commentisfre…
Mark Tehan retweeted
Always in these articles you have anonymous "NHS Chiefs" saying they can't run safe services with this level of funding.
But which trust has said so publicly? None. Without anonymity, which still claim to be safe? All of them.
🚨 EXCLUSIVE: NHS chiefs across England have been told to cut spending on nurses and doctors and find services they could close as NHS faces a £4.5bn funding blackhole: thetimes.co.uk/article/421a0…
Mark Tehan retweeted
Why should EM doctors be fast?
accssurvivor.net/ed/2024/02/…
#teamED
Mark Tehan retweeted
If an emergency department is crowded then patient should be moved to wards who should create extra capacity. Keeping sick elderly people on waiting room chairs for hours on end is inhumane. Holding all the risk in one place is dangerous and irresponsible.
Mark Tehan retweeted
well-known figure relating to genera practice is that 1/5 of appointments relate to nonmedical issues.
Does anyone know of any research/data looking at this issue in emergency care?
Mark Tehan retweeted
If you've never seen a serious heat stroke patient, they look awful.
I mean, truly, horrificly awful
Aggitated, combative, that horrible peri arrest sweat that means nothing sticks to them
But you can, if you get this right save their life.
You need to cool them
Mark Tehan retweeted
I read the @hsib_org report into emergency care yesterday and took some edited "highlights" which will apply to many / most if not all NHS EDs right now - purely from an EM perspective: others will comment on ambulance and in-patient factors 🧵 1/n
Mark Tehan retweeted
#MedTwitter, I'm helping to deliver a learning session on intubation for new ED nurses, to prepare them for the situation. What should we include? Any tips?
Please RT if you know any ED nurses! 💉
Mark Tehan retweeted
Tony Blair.
The NHS isn’t difficult to innovate actually. We have many people constantly working on trying to do this, but many of them not having time from their “day job” to allow it.
We also have people that shouldn’t be in the roles they’re in. Soz. But it’s true.
Mark Tehan retweeted
1/12 I have been pondering the meaning of “consider” in the new @NICEComms HI Guideline. For patients who are back to baseline and only indication for CT is ‘aged >65y on a DOAC’ how would I “consider”?
Mark Tehan retweeted
Is it time for a rethink of the 2 week wait referral pathway?
Rammya Mathew: Are we a cancer service or a health service? bmj.com/content/381/bmj.p138…
Mark Tehan retweeted
Started an online course with @hsib_org about safety investigations and it’s mind blowing: so much of what is done locally with ‘incident investigation’ is poor and doesn’t make good sense. It’s no wonder errors repeatedly occur.
Mark Tehan retweeted
Life as an EM Consultant these days: a question or unfixable problem every 2.4 seconds for 10hrs straight - seriously how are we meant do a whole career of this and stay sane/healthy? 😴
Mark Tehan retweeted
Come and work with us as a Senior Clinical Fellow developing interests in either:
Echo: virtually all our imaging is done in house.
Research: world leading team recruiting 24/7
Sustainability: save patients and the planet 🌏
Come and join @UHWCriticalCare. ST3+ fellow posts with a special interest in Echo, Research or Sustainability. beta.jobs.nhs.uk/candidate/j…
Mark Tehan retweeted
Currently trialling carrying powdered blood product (LyoPlas) to see if it’s feasible in our operating model. Sadly we’ve had to give our first transfusion to a critically injured patient. Thanks @BASICS_HQ @FentonLtd @HelipadHELP @Bloodwarmer @NitespharmaL for making possible
