Glasgow Royal ED, EMRS Scotland. Opinions ? Run a carbon test on my jaw. Its all been said before

Joined September 2014
377 Photos and videos
Neil Dignon retweeted
This is glorious. I’ve read it 3 times already and it was only published 71 minutes ago. Paul Howard: You’ll spend the rest of your life chasing the way your first World Cup made you feel irishtimes.com/sport/soccer/…
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Neil Dignon retweeted
#Feb2026 #NewResearch 📌 Understanding corridor and escalation area care in 165 UK emergency departments: a multicentre cross-sectional snapshot study 🔗 emj.bmj.com/content/early/20… We’re pleased to share a landmark multicentre study led by the RCEM Trainee Emergency Research Network (TERN) that provides the most comprehensive national snapshot to date of escalation area and corridor care across UK emergency departments. 📊 Key outcomes from this national study: • Across 165 UK type 1 EDs, 10 042 patients (17.7%) were receiving care in escalation areas — spaces outside the usual clinical footprint such as corridors, waiting rooms, repurposed clinical areas and doubled-up cubicles — at five snapshot points in March 2025. • The proportion of patients in escalation areas ranged over time from ~15.5% to over 21%, with the highest use at the end of a clinical night shift. • Non-clinical spaces (including corridors and waiting rooms) consistently made up the majority of escalation area care, representing over half of the patients in these settings. • ED occupancy pressures were stark: occupancy ranged from about 1.0 to 2.4 patients per cubicle, and up to 26% of sites had no resuscitation cubicles available at certain snapshots — raising patient safety concerns. • Patients awaiting an inpatient bed consistently outnumbered those in escalation areas, highlighting flow and discharge challenges as central contributors to corridor care. • Both paediatric patients and those with mental health presentations were found to be receiving care in escalation areas across all snapshots, despite national guidance recommending against it. • The proportion of patients in escalation care varied regionally, with the highest rates observed in Northern Ireland and lower rates in parts of south-west England. 📌 Why this matters: This study demonstrates that escalation area care, including corridor care, is not an occasional exception but a routine part of emergency practice across much of the UK, despite national guidance stating it should be avoided. Providing safe, high-quality care in spaces not designed for clinical observation or treatment presents significant challenges for patient dignity, monitoring and staff workflow. The findings underscore the urgent need for system-level solutions focused on improving patient flow, reducing inpatient boarding times and expanding capacity. 👉 Read the full article for detailed methodology, outcomes and suggestions for future research — and join the conversation on how we can translate this evidence into better emergency care practice. #EmergencyMedicine #EMJ #HealthcareResearch #PatientSafety #QualityImprovement #NHS @RCollEM @richardbody @drsarahedwards
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Neil Dignon retweeted
"Without government action, the cost will continue to be measured in lives" The deaths of more than 800 people in Scotland last year were associated with long waits in A&E, RCEM is set to reveal today. Read more here: rcem.ac.uk/press-release/wit…
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Neil Dignon retweeted
We have two amazing job opportunities @MAVscotland to join our award winning by Navigator and Youth Navigator programmes in Edinburgh and Aberdeen. Take a look , share 👇🏻
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Neil Dignon retweeted
A reminder that this amazing job closes on Tuesday 10th June don’t miss your chance to support young people and be part of something really innovative with @MAVscotland #ontheedge @St_Rochs @callum2591
We are looking for a School Navigator to join our On the Edge programme team in the Glasgow area. On the Edge is an innovative new programme that works with young people in the school setting to improve their wellbeing, engagement and life chances. mav.scot/jobs
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Neil Dignon retweeted
Today saw our 2014s compete in the annual Matthew Carney Tournament organised by OLM. Superb effort by OLA team with some outstanding performances. Well done to all. A superb event as always and thanks to all the volunteers who make the event such a memorable occasion each year
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Neil Dignon retweeted
You might have heard me on the radio last week with @callum2591 when we mentioned this new @MAVscotland programme. It’s got huge potential and we need another School Navigator to add to the team to drive it forward Please share with anyone who might be interested.
We are looking for a School Navigator to join our On the Edge programme team in the Glasgow area. On the Edge is an innovative new programme that works with young people in the school setting to improve their wellbeing, engagement and life chances. mav.scot/jobs
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Neil Dignon retweeted
Great to see this in print and while this isn’t the end of the story it does show the impact that social support in the ED can make. “All’s he ever done was kept his word to me. That’s all it took, was somebody actually keeping your word, believe in you.” Nav patient
Finally in print at the European Journal of Emergency Medicine. Social support from the ED, and changes in healthcare use. Full link in the graphic. @DrGoodalltweets @MAVscotland @NavigatorsScot
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Neil Dignon retweeted
A week to go until the next meeting of @EMAtTheDeepEnd. Looking forward to hearing from a range of perspectives, and the usual robust discussion, on a key issue in emergency care.
We're pleased to share an invite to the next meeting of @EMAtTheDeepEnd - focussing on refugee and migrant health in the ED. We have a great range of speakers lined up, with a diversity of experience across emergency care. Invites out soon to our mailing list, or DM for a link
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Neil Dignon retweeted
#retrieval2025 is not just a Medical Conference, it’s the opportunity to meet and learn from multi-professional PH and retrieval colleagues from across the world, striving to improve the quality and acuity of clinical care delivery in all environments… emrsscotland.org/retrieval20…
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Neil Dignon retweeted
Good morning from sunny Scotland…🏴󠁧󠁢󠁳󠁣󠁴󠁿 Registration for #retrieval2025 now open: emrsscotland.org/retrieval20… #letsgo
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Neil Dignon retweeted
the NHS response to every winter A&E crisis is "we have plans". This is the wrong response. To paraphrase Yoda: "there is no plan, there is only do or not do." ...
Replying to @AmandaPritchard
We have plans in place to manage extra demand – we use critical incidents to manage and monitor pressures, we have more beds than we did last year and we have new ways of working which ensure people can get cared for at home.
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Neil Dignon retweeted
emj.bmj.com/content/39/3/168. For every 72 people waiting 8-12 hours before admission there is one additional death within 30 days.
Last year 14,000 people died needlessly from 12 hour waits in A&E 😳 That’s not like road fatalities, where modern life means sadly there’ll always be some. That’s a number that should & could be zero. Extraordinary nugget from @RCollEM in @thetimes by @cazjwheeler @Ben_Spencer
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Neil Dignon retweeted
Latest @airambulancekss paper on the pre-hospital care of penetrating neck injury sjtrem.biomedcentral.com/art…
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Neil Dignon retweeted
Article by @rymchenry & @DrGoodalltweets ‘Changes in emergency healthcare use following intervention by Navigator…’ in @EJ_EmergencyMed shows reduced emergency & acute healthcare use in year following intervention journals.lww.com/euro-emerge… @NavigatorsScot @MAVscotland

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Neil Dignon retweeted
Some words on providing emergency medical care to survivors in the Central Mediterranean, while countless more lives are lost at sea. With an incredible colleague, Sofie Karlsson, and @MSF. Online emj.bmj.com/content/early/20… or free pdf here - emj.bmj.com/content/emermed/…

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Aircrews do not train as teams, yet no-one has died from an accident on a British commercial aircraft for 35 years. Teams training together costs a lot, therefore teams don't train at all! Should we be more like pilots and train individually? buff.ly/3COBTjM
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Neil Dignon retweeted
Just booked The Social Hub in Glasgow City Centre for the Resuscitation Performance course Brand new hotel & events venue in Glasgow city centre. Ideal for Core Cognition courses CoreCognition.co.uk thesocialhub.co/glasgow/

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Neil Dignon retweeted
'Dr Finlay, I presume' the exhibition, comes to RGPAS conference on 15-17 November in Inverness. #RGPAS24 - RuralGP.scot Some tickets are still available: eventbrite.co.uk/e/rgpas-ann…
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