So it’s finally live! My ted talk from august! Why I am afraid to grow old | Ian Tyrrell | TEDxNHS youtu.be/DDUHBD8z2mw via @YouTube

Mrs. T, 76, background of mild dementia. Admitted with COPD exacerbation. Doing well. Discharge planned for day 3. AM, night 2: bed manager moves her to a different ward. Bed pressures. Wheeled through dark corridors. New bay. Different nurses. Belongings in bags. By morning: frightened, disorientated, and calling out. Delirium diagnosed. Workup: all normal. No infection, no medication change, no pain. The cause: probably mostly the ward move itself. Sleep deprivation loss of orientation cues unfamiliar environment = iatrogenic delirium. We do this every night, in every hospital. Her avoidable delirium was very costly to her: reduced confidence, worse mobility, lasting traumatic memories. It also meant 4 extra days of hospital bed costs. ↳ How many cases of delirium in your hospital are caused by inadequate care? #acutecare #dementia

Unai Emery reminds me of this in his pre-match interview.

a mad 3 years.

Another successful oncall scenario session for our junior physiotherapist. Great discussion and facilitation by all involved

Running these sessions is one of the best parts of my job, great to see so much engagement from our new juniors. @88AimeeA @debbierowley72 @IanTyrrell5 @TherapiesatUHNM @UHNM_Sim

Moved some blogs here. Hopefully more to follow. iantyrrell1.substack.com?r=5…

A fab morning spent in the SIM lab! 🤓Dusted off a few cobwebs with some interesting scenarios! 👩🏽‍⚕️🫁🩺 #Physio #OnCall #RespisBest

Always love these days, dipping my toes back into the world of respiratory physio. Great clinical reasoning, teamwork and discussion. Not just dealing with complex clinical cases but dealing with complex communication skills. And always a pleasure to be a bit dramatic!

SIM training day success again @UHNM_Sim @SarahSm76695321 @debbierowley72 @IanTyrrell5

This tool is only scratching the surface of what it can do! Cannot be wait to continue to develop this.

Nearly 3 years to the day me and @chloeannpugh went to watch the @TheSnuts at Keele Uni on our first date. Tonight we see them again at the 02 academy 6 months to the day that we get married! What a rollercoaster.

Another 3 episodes of the UHNMEDucate podcast recorded today! And now a total of 28 in the bag to date. Officially half way there. As always thanks to @88AimeeA for all her help along the way! Final push will come in the new year but proud of the progress made so far.

Early mobilisation should be focussed on CFS 4-6. 1-3 will sort themselves out out. 7 - 9 need more specialist expertise. #BGSConf

A newly-opened Frailty Assessment Unit at County Hospital in Stafford is helping to prevent frail and older patients being admitted into hospital by providing appropriate and timely care so they can return home at the earliest opportunity 🏥➡️ uhnm.nhs.uk/latest-uhnm-news…

Another day, another day recording the #UHNMEDucate podcast. Fantastic content recorded on paediatric pain assessment, paediatric respiratory conditions and the cardiovascular system. Thanks to @Erica_J_Smith and consultants Mikhail and Amal and of course @88AimeeA. #ComingSoon

Another great on-call session in the SIM lab today, this time focusing on scenarios on critical care, paediatrics, SSCU and County AMU. Great engagement and discussion by all. @TherapiesatUHNM @88AimeeA @debbierowley72 @IanTyrrell5 @caitlin_physio

Truely remarkable book. Bringing to life so many memories I have of watching cricket over the years. Thank you @jimmy9 and @felixwhite a fantastic, funny, tear inducing autobiography of the greatest ever fast bowler.

Looking forward to reading this one.

Don’t forget to listen to the latest podcast to hear all about this fantastic award winning team!! podcasts.apple.com/gb/podcas…