Approximately 87,000 adults in England with SMI have died from preventable physical health conditions in just 3 years. RCPsych analysis shows. #WMHD2024 Our full statement: 87,000 people with a severe mental illness have died from preventable physical health conditions in three years (rcpsych.ac.uk) (1/3)

I’ve seen a few inaccurate and misleading comments today over the #AssistedDying bill. To clarify, this is what @dignityindying is campaigning for and which I support. “We believe assisted dying for terminally ill, mentally competent adults should be legal in the UK. •Terminal illness We believe the right law for the UK is one that allows dying people, with six months or less to live the option to control their death. We do not support a wider law. •Dying people are not suicidal – they don’t want to die but they do not have the choice to live. When death is inevitable, suffering should not be. Along with good care, dying people deserve the choice to control the timing and manner of their death. •Dying people not doctors in control. Assisted dying should be controlled by the dying person. Dying people should have support to take the final act that brings about their peaceful death. •We do not support a law that would allow anyone to end another’s life. This is an important protection to ensure that an assisted death is completely voluntary. •A safe and comfortable death. Dying people are already ending their lives to avoid painful and undignified deaths. Many pay thousands of pounds to travel abroad to guarantee a safe and peaceful death. They do so to access a proven and safe way to control their death with medical supervision. Many cannot travel so risk a painful and gruesome death by ending their lives at home. Many more are suffering and dying without dignity because they have no choice. We believe dying people should have the means to control their death safely and comfortably at home. •Respecting peoples consciences. Some healthcare professionals may not wish to support dying people to control their death. The law should respect this. People who do not wish to support assisted dying shouldn’t be forced to do so. •A more compassionate country and NHS As a country we have a long and proud history of providing free and compassionate healthcare. Forcing people to travel abroad and pay thousands of pounds for a dignified death is cruel and wrong. Dying people deserve high quality end-of-life care and the choice of assisted dying. •A law proven to work We believe that doctors, patients and the public need to have confidence that the law on assisted dying will work in practice, will be safe and will remain unchanged. That is why we call for a law based on one that has worked safely in Oregon and has remained unchanged since 1997, a law that is now in place in California, Washington and other US states. •The Bill we push for is: limited to terminally ill and mentally competent adults, requires the dying person to end their own life and does not permit another person to do it for them, has a waiting period to give dying people time to reflect on their decision, requires assessment by doctors and a high-court judge allows the dying person to die at home” -A recent Health and Social Select committee inquiry showed that where the Oregon law has been used, there has been NO evidence of a “slippery slope” beyond the original criteria of it being expanded. Evidence also revealed that palliative care cannot relieve all suffering and that legalisation of assisted dying linked to improvements in end-of-life care overseas. All of this information plus more is available to read on the @dignityindying website.

BREAKING @kimleadbeater MP to bring a Private Member’s Bill on assisted dying in the House of Commons, following the introduction of Lord Falconer’s Bill to the House of Lords in July. MPs have a historic opportunity to bring about real change. 🧵🧵🧵 dignityindying.org.uk/news/m…

Consensus guidelines for the management of INTUBTION of patients with a PHYSIOLOGICALLY DIFFICULT AIRWAY ICU& ED & on the ward/floor ((& maybe of use for PHEM) Just out in @yourICM Great work leading the project by @KunalKaramchan2 @SheilaMyatra & a rather big team Highlights include -another consensus document advocating default VL -capnography advised as the only tool to confirm successful intubation -avoidance of standard dose propofol -minimum 3 operators, 2 airway trained -avoidance of blind fluid loading to prevent hypotension Possible controversies include -routine checklist use -NIV as the choice of pre-oxygenation -use of a bougie or stylet for all intubations -delayed sequence for those difficult to preoxygenate without it doi.org/10.1007/s00134-024-0…