Manservant to Bella and Lachlan. 🏊‍♂️ 🚵‍♂️ 🏃‍♂️ Du&Triathlete. EM Consultant. Part of the @CEMBooks team ⭐️Finlay⭐️

Joined January 2012
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Replying to @StuartNuttall1
“Focus on consistent habits & great cadence before marginal gains.” Figure at some point you need a motto in life that you can stick to. It’s not catchy but I think it’s true!
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In an out of work through these areas this weekend on new dedicated clean traffic free cycle lanes too - can’t complain 👌
Greatest city on earth.
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Stuart Nuttall retweeted
🚨NEW POST BY ME🚨 Greater Manchester’s growth success is real, but didn't happened by accident. The country should be studying it closely. Long-term strategy that is aggressively pro-growth, pro-development & pro-FDI works if given time and consistency substacktools.com/sharex/8x1…
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Stuart Nuttall retweeted
At what level do you even pitch political coverage to a nation which thinks the NHS makes a 34% profit margin whilst not charging them for anything?
the general public overestimate the margins businesses make
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Stuart Nuttall retweeted
"As an unabashed socialist, I am concerned with the distribution of wealth, but if you don’t create any in the first place it is a bit of an empty discussion." > Sir Richard Leese. If there is a meaningful concept of "Manchesterism" then this would be it for me.
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Stuart Nuttall retweeted
I usually illustrate my Heaviness Hypothesis* with AMU data. But I wondered if ED heaviness explains ED length of stay better than mere ED fullness does. And it does! (Though it's marginal!) (*ED exit block is better explained by AMU heaviness than it is by mere AMU fullness.)
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Stuart Nuttall retweeted
"To thrive, Britain must embrace failure: If London, Oxford, and Cambridge continue to know that they are too big and too cherished to fail, Britain will not thrive. It is neither unpatriotic nor populist (as Burnham was accused of being) to say so." tomforth.co.uk/embracefailur…
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Stuart Nuttall retweeted
The peerless Professor Harold Ellis died yesterday at 100 years old. I am sure he would want us to celebrate his life by sharing his teaching. He was a wonderful wonderful man, take 9 minutes to learn the plexus from him - youtu.be/R63TkIj0rnY
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Stuart Nuttall retweeted
Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2026 CCR Journal Watch criticalcarereviews.com/late…
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Stuart Nuttall retweeted
Clinical deterioration is an underappreciated risk of ED boarding. In a multi-center study of >173,000 admissions, nearly 1 in 25 ED boarders admitted to the floor experienced early clinical deterioration requiring an admission to an advanced level of care, with almost half occurring before leaving the ED. Each additional hour of boarding was independently associated with an increased risk of deterioration, and deterioration carried substantially higher 28-day mortality. Identifying high-risk patients early may prevent avoidable escalations in care and patient harm.  #EDBoarding #PatientSafety #EmergencyMedicine #EM #HealthPolicy #SocialMedicine
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This wouldn’t be news to anyone who had the old @hornby Percy model train. Was the fastest model engine on our railway 🚂 💨 🟢
I got Percy to 143 MPH in Wonders of Sodor
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Stuart Nuttall retweeted
The association between long emergency department stays and inpatient length of stay: a retrospective cohort study | BMC Emergency Medicine | Springer Nature Link. Published today by my residents. Another harm of long ED stays… 1/n link.springer.com/article/10…
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It’s not just a UK phenomenon though @kurtstat - have a listen to the latest @SGem podcast. Similar issues, with some different terminology (alternate levels of care = no reason to reside) but essentially the same problem and same results - higher mortality and burnout etc.
SGEM#503: Waiting is the Hardest Part – Factors Associated with Emergency Department Length of Stay. thesgem.com/2026/02/sgem503-… @PfParks @CAEP_Docs @alandrummond2 @raghu_venugopal
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This is one of the things I’ve found interesting about big infrastructure like TRU - the little side quests, like tarmacing the Broad canal towpath or building a new HWRC site which are fab improvements in their own right!!
We have successfully completed and opened the new Household Waste Recycling Centre for Kirklees Council and SUEZ. 🙌♻️ Our TRU West Alliance team constructed the new facility to allow SUEZ to continue operating the recycling centre whilst new railway lines are built. The existing site had to be relocated to enable the construction of a new retaining wall, which will facilitate the development of new fast lines and allow for increased line speeds through this section of the route. 🚆 Recently, colleagues from both Kirklees and TRU, along with local councillors, visited the site and had a tour around the new facility. This is another example of collaboration between TRU and Kirklees Council, and how partnerships can deliver meaningful outcomes for both our infrastructure and our communities. 🤝
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Stuart Nuttall retweeted
After 38 years, Trans World Sport signs off for the final time at the end of 2025. Thank you for every story, every athlete, every viewer. It’s been an honour to share the world of sport with you. 🌍❤️ #TransWorldSport #EndOfAnEra
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Stuart Nuttall retweeted
In a completely unheralded but praiseworthy move, NHSE has released site-level data for A&E performance: england.nhs.uk/statistics/st…...

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RT @rbarbosa91: It's 4:00 AM and a patient comes in with a stab wound to the heart. Repair it by 4:02 and the patient will walk out in a…
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Stuart Nuttall retweeted
But the thing that struck me most of all was the difference between the two graphs. So I positioned them side by side to try and make the contrast clearer. There were only three years that intervened between these two time periods but they look like two different worlds. 16/16
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Abide with me gets me every time! 🥹 #rugbyleague #challengecupfinal
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Stuart Nuttall retweeted
So, to recap (!), if we want a better idea how exit block works in a hospital that’s already full or overflowing, we shouldn’t just look at how full the beds are; we should also take account of the likely number of bed days still to be generated in those beds. 20/21
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Stuart Nuttall retweeted
Spencer Leniu when he realised Queensland weren’t going to kick off to him 😳😂 #stateoforigin
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